Active NPI
Kristin Nicole Ball, PHARM.D.
- Pharmacist
- Media, PA
National Provider Identifier
1528059326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP 443072
- Practice address
- 605 E Baltimore Pike
Media, PA 19063-1734 - Phone
- (484) 234-2427
- Fax
- (484) 244-4614
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22809 | GA | |
| Pharmacist | 183500000X | 0202207749 | VA | |
| Pharmacist | 183500000X | RP 443072 | PA | Primary |
| Pharmacist | 183500000X | 0003893 | DE |
Addresses
Primary practice location
605 E Baltimore Pike
Media, PA 19063-1734
Mailing address
605 E Baltimore Pike
Media, PA 19063-1734
Phone (484) 234-2427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003893 | DE | MD | Pharmacist |
| 22809 | GA | MD | Pharmacist |
| RP 443072 | PA | MD | Pharmacist |
| 0202207749 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1528059326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631734",
"telephone_number": "484-234-2427",
"fax_number": "484-244-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631734",
"telephone_number": "484-234-2427",
"fax_number": "484-244-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "22809",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207749",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP 443072",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "0003893",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.