Thomas Balaskas, RPH
Individual provider Active NPI Pharmacist · Maricopa, AZ
NPI 1225633647 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1225633647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8427 (AZ)
- Practice address
- 21044 N John Wayne Pkwy
Maricopa, AZ 85139-2916 - Phone
- (520) 836-4401
- NPI assigned
- Dec 2, 2020
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8427 | AZ | MD | Pharmacist |
Interoperability endpoints
- rxd109@bashas.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8427 | AZ | Yes |
Addresses
Primary practice location
21044 N John Wayne Pkwy
Maricopa, AZ 85139-2916
Mailing address
21044 N John Wayne Pkwy
Maricopa, AZ 85139-2916
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8427 | Other | AZ | ARIZONA LICENSE |
| 8427 | Other | ARIZONA PHARMACIST LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 5208364401 | ||
| Direct Messaging Address | Rxd109@bashas.com | Direct | |
| Direct Messaging Address | RXD109@Bashas.com | Health Information Exchange (HIE) |
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. 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.