Gregory H Balotin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS33362 Issued in FL

Practice address

1650 San Pablo Rd S Ste 17
Jacksonville, FL 32224-2084

Phone

(904) 221-8686

NPI assigned

Nov 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1427230879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAN PABLO RD S STE 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242084",
            "telephone_number": "904-221-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAN PABLO RD S STE 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242084",
            "telephone_number": "904-221-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOTIN",
        "first_name": "GREGORY",
        "middle_name": "H",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PS33362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Andreina Ballester-Nieto, M.A.
• Alex Balmir, D.O.
• Joseph John Balmonte, PT
• Abuzar Bhurgri Baloach, DO
• Jonathan Forest Balog, D.O.
• Jesse Balseiro, MD
• Elizabeth Suzanne Balser
• Gerard Joseph Balski, O.D.
• Alex Balsley, COTA
• Jenny Ann Baltazar, ARNP

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.