Active NPI
Shantelle S Ballard, PHARMACIST
- Pharmacist
- Arlington, VA
National Provider Identifier
1124301320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011132
- Practice address
- 1200 S Fern St
Arlington, VA 22202-2862 - Phone
- (703) 413-7082
- Fax
- (703) 413-7429
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- 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 | 0202011132 | VA | Primary |
Addresses
Primary practice location
1200 S Fern St
Arlington, VA 22202-2862
Mailing address
1200 S Fern St
Arlington, VA 22202-2862
Phone (703) 413-7082
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011132 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1124301320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S FERN ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222022862",
"telephone_number": "703-413-7082",
"fax_number": "703-413-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FERN ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222022862",
"telephone_number": "703-413-7082",
"fax_number": "703-413-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "SHANTELLE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.