Brett Ballew, PHARM.D.
Individual provider Active NPI Pharmacist · Warrior, AL
NPI 1114773116 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1114773116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16786 (AL)
- Practice address
- 1189 Allbritton Rd
Warrior, AL 35180-2663 - Phone
- (205) 244-3024
- NPI assigned
- Apr 29, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 16786 | AL | MD | Pharmacist |
| T-101121 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-101121 | MS | |
| Pharmacist | 183500000X | 47074 | TN | |
| Pharmacist | 183500000X | 16786 | AL | Yes |
Addresses
Primary practice location
1189 Allbritton Rd
Warrior, AL 35180-2663
Mailing address
6280 Snowville Brent Rd
Dora, AL 35062-3508
Phone (205) 381-1204
Other providers in Warrior, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. 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.