Active NPI
Michelle P Ballinger, RPH,PHARMD,BCCP
- Cardiology Pharmacist
- Palo Alto, CA
National Provider Identifier
1174047989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Pharmacist
- License
- 019212
- Practice address
- 3801 Miranda Ave
Palo Alto, CA 94304-1290 - Phone
- (502) 263-3460
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 019212 | KY | |
| Pharmacist | 183500000X | 019212 | KY | |
| Cardiology Pharmacist | 1835C0206X | 019212 | KY | Primary |
Addresses
Primary practice location
3801 Miranda Ave
Palo Alto, CA 94304-1290
Mailing address
709 Flint Ridge Rd
Versailles, KY 40383-8671
Phone (502) 263-3460
Other names 1
- Michelle Lynn Pike
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019212 | KY | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1174047989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 FLINT RIDGE RD",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403838671",
"telephone_number": "502-263-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041290",
"telephone_number": "502-263-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "MICHELLE",
"middle_name": "P",
"credential": "RPH,PHARMD,BCCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "019212",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019212",
"primary": false
},
{
"code": "1835C0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Cardiology",
"state": "KY",
"license": "019212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "PIKE",
"middle_name": "LYNN",
"credential": "RPH, PHARMD, BCCP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.