Active NPI
Cody Ballance
- Pharmacist
- St Pete Beach, FL
National Provider Identifier
1528330628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 46832
- Practice address
- 337 75TH Ave
St Pete Beach, FL 33706-1829 - Phone
- (727) 367-7657
- NPI assigned
- Feb 4, 2012
- Last updated
- Feb 4, 2012
- Sex
- Female
- 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 | PS 46832 | FL | Primary |
Addresses
Primary practice location
337 75TH Ave
St Pete Beach, FL 33706-1829
Mailing address
100 4TH Ave S Apt 228
St Petersburg, FL 33701-4370
Phone (727) 465-6699
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 |
|---|---|---|---|
| PS 46832 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328313600000",
"number": "1528330628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 4TH AVE S APT 228",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014370",
"telephone_number": "727-465-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 75TH AVE",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337061829",
"telephone_number": "727-367-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLANCE",
"first_name": "CODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-04",
"last_updated": "2012-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 46832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Pete Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.