Active NPI
Charles Balzarini, RPH
- Pharmacist
- Eagle River, AK
National Provider Identifier
1508103979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 989
- Practice address
- 30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737 - Phone
- (907) 696-7534
- NPI assigned
- Jan 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 989 | AK | Primary |
| Pharmacist | 183500000X | 3153 | HI |
Addresses
Primary practice location
30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737
Mailing address
30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737
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
| License | State | Type | Specialty |
|---|---|---|---|
| 989 | AK | MD | Pharmacist |
| 3153 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357344000000",
"number": "1508103979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30840 PRUDHOE BAY AVE",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30840 PRUDHOE BAY AVE",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779737",
"telephone_number": "907-696-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALZARINI",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-05",
"last_updated": "2013-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "989",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.