Active NPI
Daniel Ballotti, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Pueblo, CO
National Provider Identifier
1538047451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHA.0025452
- Practice address
- 3050 W Northern Ave
Pueblo, CO 81005-2317 - Phone
- (719) 564-0491
- NPI assigned
- Aug 27, 2025
- 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 | 0025452 | CO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHA.0025452 | CO | Primary |
Addresses
Primary practice location
3050 W Northern Ave
Pueblo, CO 81005-2317
Mailing address
3050 W Northern Ave
Pueblo, CO 81005-2317
Phone (719) 564-0491
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 |
|---|---|---|---|
| 0025452 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Pueblo, CO
- NPI 1245275262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1538047451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052317",
"telephone_number": "719-564-0491",
"fax_number": "719-560-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052317",
"telephone_number": "719-564-0491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLOTTI",
"first_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-27",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0025452",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "PHA.0025452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.