NPIMap

Individual provider Active NPI

Caleb J Ballweg, PHARM.D

  • Pharmacist
  • Prairie Du Sac, WI
National Provider Identifier
1447986971
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21092-40 Issued in WI
Practice address
1200 Prairie St
Prairie Du Sac, WI 53578-2041
Phone
(608) 643-6500
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
21092-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ballweg Family Pharmacy Inc Current
since Jan 29, 2023		 Accepting new patients
Ballweg Family Pharmacy Inc Past
since Jul 31, 2022		 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21092-40 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 Prairie St
Prairie Du Sac, WI 53578-2041

Mailing address

1200 Prairie St
Prairie Du Sac, WI 53578-2041
Phone (608) 643-6500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1447986971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLWEG",
        "first_name": "CALEB",
        "middle_name": "J",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21092-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.