Individual provider Active NPI

Pinang G Balsara

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1134729148
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH026866 Issued in GA
Practice address
2795 Chastain Meadows Pkwy
Marietta, GA 30066-3361
Phone
(770) 427-2480
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
RPH026866GAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH026866 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2795 Chastain Meadows Pkwy
Marietta, GA 30066-3361

Mailing address

2795 Chastain Meadows Pkwy
Marietta, GA 30066-3361

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL NA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2020.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1134729148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 CHASTAIN MEADOWS PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 CHASTAIN MEADOWS PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663361",
            "telephone_number": "770-427-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSARA",
        "first_name": "PINANG",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2795 Chastain Meadows Pkwy",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300663361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.