Madison Ballif, PHARMD
Individual provider Active NPI Pharmacist · Meridian, ID
NPI 1033846258 · NPPES record last updated Aug 7, 2022
Key facts
- NPI
- 1033846258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P10161 (ID)
- Practice address
- 1600 N Main St
Meridian, ID 83642-1709 - Phone
- (208) 888-7311
- NPI assigned
- Aug 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10161 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Interoperability endpoints
- madison.e.ballif@riteaid.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10161 | ID | Yes |
Addresses
Primary practice location
1600 N Main St
Meridian, ID 83642-1709
Mailing address
1428 Mitchell Dr
Ogden, UT 84403-1324
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Madison.E.Ballif@riteaid.com | Direct | RiteAid Pharmacy |
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.