Active NPI
Donald Symes Balas, R.PH.
- Pharmacist
- Beavercreek, OH
National Provider Identifier
1376640912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2-11246
- Practice address
- 3245 Seajay Dr
C/O Lofino'S Pharmacy
Beavercreek, OH 45430-1356 - Phone
- (937) 426-0060
- Fax
- (937) 426-2535
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-11246 | OH | Primary |
Addresses
Primary practice location
3245 Seajay Dr
C/O Lofino'S Pharmacy
Beavercreek, OH 45430-1356
Mailing address
2830 S River Rd
Cedarville, OH 45314-9739
Phone (937) 767-2638
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lofinos Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Beavercreek, OH
- NPI 1336215094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376640912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 S RIVER RD",
"city": "CEDARVILLE",
"state": "OH",
"postal_code": "453149739",
"telephone_number": "937-767-2638",
"fax_number": "937-426-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 SEAJAY DR",
"address_2": "C/O LOFINO'S PHARMACY",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454301356",
"telephone_number": "937-426-0060",
"fax_number": "937-426-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAS",
"first_name": "DONALD",
"middle_name": "SYMES",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-11246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.