Active NPI
Christopher Robert Ballou, PHARMD
- Pharmacist
- Leominster, MA
National Provider Identifier
1063230084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1000873
- Practice address
- 9 Nelson St
Leominster, MA 01453-2131 - Phone
- (978) 840-8343
- NPI assigned
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1000873 | MA | Primary |
Addresses
Primary practice location
9 Nelson St
Leominster, MA 01453-2131
Mailing address
5358 Timberview Way
Marlborough, MA 01752-2576
Phone (413) 505-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1000873 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1063230084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5358 TIMBERVIEW WAY",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522576",
"telephone_number": "413-505-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 NELSON ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532131",
"telephone_number": "978-840-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLOU",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH1000873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.