Individual provider Active NPI

Keerat Bal

  • Pharmacist
  • Flint, MI
National Provider Identifier
1255080883
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414096 Issued in MI
Practice address
2284 S Ballenger Hwy
Flint, MI 48503-3446
Phone
(810) 275-9084
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414096 MI Primary

Addresses

Primary practice location

2284 S Ballenger Hwy
Flint, MI 48503-3446

Mailing address

3373 Bates Dr
Sterling Heights, MI 48310-2532

Other practice location 1

32395 Northwestern Hwy
Farmington Hills, MI 48334-1535
Phone (248) 973-2019

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
5302414096MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 21, 2022 Accepting new patients
Walgreen Co PastSince Mar 1, 2022 Accepting new patients

Locations

32395 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 973-2019

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1255080883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 BATES DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-275-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32395 Northwestern Hwy",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341535",
            "country_code": "US",
            "telephone_number": "248-973-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAL",
        "first_name": "KEERAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.