Active NPI
Angela Ballance, PHARM.D.
- Pharmacist
- Knoxville, TN
National Provider Identifier
1386938488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12844
- Practice address
- 5405 Washington Pike
Pharmacy
Knoxville, TN 37918-7004 - Phone
- (865) 291-0087
- Fax
- (865) 291-0087
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12844 | TN | Primary |
| Pharmacist | 183500000X | RPH16424 | GA | |
| Pharmacist | 183500000X | 12897 | NC |
Addresses
Primary practice location
5405 Washington Pike
Pharmacy
Knoxville, TN 37918-7004
Mailing address
5405 Washington Pike
Pharmacy
Knoxville, TN 37918-7004
Phone (865) 291-0087
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH16424 | GA | MD | Pharmacist |
| 12844 | TN | MD | Pharmacist |
| 12897 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1386938488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 WASHINGTON PIKE",
"address_2": "PHARMACY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379187004",
"telephone_number": "865-291-0087",
"fax_number": "865-291-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 WASHINGTON PIKE",
"address_2": "PHARMACY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379187004",
"telephone_number": "865-291-0087",
"fax_number": "865-291-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLANCE",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12844",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH16424",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.