Active NPI
Marius Ibuye Balola, PHARM.D, RPH
- Pharmacist
- Cedar Falls, IA
National Provider Identifier
1487259347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23801
- Practice address
- 214 Viking Plaza Dr
Cedar Falls, IA 50613-6936 - Phone
- (319) 553-1121
- NPI assigned
- Nov 30, 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 | 23801 | IA | Primary |
Addresses
Primary practice location
214 Viking Plaza Dr
Cedar Falls, IA 50613-6936
Mailing address
214 Viking Plaza Dr
Cedar Falls, IA 50613-6936
Phone (319) 553-1121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Escript |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23801 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1487259347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 VIKING PLAZA DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136936",
"telephone_number": "319-553-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 VIKING PLAZA DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136936",
"telephone_number": "319-553-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOLA",
"first_name": "MARIUS",
"middle_name": "IBUYE",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Escript",
"affiliation": "N",
"address_1": "214 Viking Plaza Dr",
"city": "Cedar Falls",
"state": "IA",
"country_code": "US",
"postal_code": "506136936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.