Individual provider Active NPI

Taci Ball, RPH

  • Pharmacist
  • Bemidji, MN
National Provider Identifier
1497057392
Registry record updated Nov 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117426 Issued in MN
Practice address
200 Paul Bunyan Dr S
Bemidji, MN 56601-3241
Phone
(218) 751-8063
Fax
(218) 751-8064
NPI assigned
Nov 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117426 MN Primary

Addresses

Primary practice location

200 Paul Bunyan Dr S
Bemidji, MN 56601-3241

Mailing address

200 Paul Bunyan Dr S
Bemidji, MN 56601-3241
Phone (218) 751-8063

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
117426MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1290816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290816000000",
    "number": "1497057392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PAUL BUNYAN DR S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013241",
            "telephone_number": "218-751-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PAUL BUNYAN DR S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013241",
            "telephone_number": "218-751-8063",
            "fax_number": "218-751-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "TACI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-27",
        "last_updated": "2010-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; 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.