Alexander Balkum, PHARMD
Individual provider Active NPI Pharmacist · Wakefield, RI
NPI 1104525955 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1104525955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH06478 (RI)
- Practice address
- 11 Main St
Wakefield, RI 02879-3562 - Phone
- (401) 783-3384
- NPI assigned
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RPH06478 | RI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH06478 | RI | Yes |
Addresses
Primary practice location
11 Main St
Wakefield, RI 02879-3562
Mailing address
70 Americo Dr
Warwick, RI 02889-2547
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. 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.