Active NPI
Balraj Buttar
- Pharmacist
- Reno, NV
National Provider Identifier
1518560432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14834
- Practice address
- 250 Vista Knoll Pkwy
Reno, NV 89506-5594 - Phone
- (775) 332-0635
- NPI assigned
- Nov 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14834 | NV | Primary |
Addresses
Primary practice location
250 Vista Knoll Pkwy
Reno, NV 89506-5594
Mailing address
250 Vista Knoll Pkwy
Reno, NV 89506-5594
Phone (775) 332-0635
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14834 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1518560432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 VISTA KNOLL PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895065594",
"telephone_number": "775-332-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 VISTA KNOLL PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895065594",
"telephone_number": "775-332-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTAR",
"first_name": "BALRAJ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "14834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.