Nicholas Ball II, PHARM.D.
Individual provider Active NPI Pharmacist · Logan, WV
NPI 1346549110 · NPPES record last updated Mar 19, 2011
Key facts
- NPI
- 1346549110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0006788 (WV)
- Practice address
- 28 Main Ave
Logan, WV 25601-3331 - Phone
- (304) 752-2910
- NPI assigned
- Mar 19, 2011
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0006788 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006788 | WV | Yes |
Addresses
Primary practice location
28 Main Ave
Logan, WV 25601-3331
Mailing address
28 Main Ave
Logan, WV 25601-3331
Phone (304) 752-2910
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2011. 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.