Active NPI
Norman Balliet, PHARMACIST
- Pharmacist
- Central City, NE
National Provider Identifier
1386726586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8204
- Practice address
- 1414 16TH St
Central City, NE 68826-1812 - Phone
- (308) 946-3859
- Fax
- (308) 946-3850
- NPI assigned
- Oct 19, 2006
- Last updated
- Dec 23, 2020
- 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 | 8204 | NE | Primary |
Addresses
Primary practice location
1414 16TH St
Central City, NE 68826-1812
Mailing address
1414 16TH St
Central City, NE 68826-1812
Phone (308) 946-3859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47075580501 | Medicaid | NE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balynor Inc | Past | Accepting new patients | |
| Balynor Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1386726586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 16TH ST",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688261812",
"telephone_number": "308-946-3859",
"fax_number": "308-946-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 16TH ST",
"city": "CENTRAL CITY",
"state": "NE",
"postal_code": "688261812",
"telephone_number": "308-946-3859",
"fax_number": "308-946-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLIET",
"first_name": "NORMAN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47075580501",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Central City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.