Active NPI
William Balas, R. PH.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1508201922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-032089-L
- Practice address
- 111 S 11TH St
1850 Gibbon Biulding
Philadelphia, PA 19107-4824 - Phone
- (215) 955-9218
- Fax
- (215) 955-1711
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | RP-032089-L | PA | Primary |
| Pharmacist | 183500000X | RI-16619 | NJ |
Addresses
Primary practice location
111 S 11TH St
1850 Gibbon Biulding
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St
1850 Gibbon Biulding
Philadelphia, PA 19107-4824
Phone (215) 955-9218
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 |
|---|---|---|---|
| RI-16619 | NJ | MD | Pharmacist |
| RP-032089-L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1508201922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "1850 GIBBON BIULDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-9218",
"fax_number": "215-955-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "1850 GIBBON BIULDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-9218",
"fax_number": "215-955-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAS",
"first_name": "WILLIAM",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-032089-L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI-16619",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.