Active NPI
Kaitlin Ballek, PHARMD
- Pharmacist
- Cabot, AR
National Provider Identifier
1619547668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15820
- Practice address
- 1325 W Main St
Cabot, AR 72023-2458 - Phone
- (501) 941-3131
- Fax
- (501) 941-3137
- NPI assigned
- Jun 30, 2021
- Last updated
- Jun 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15820 | AR | Primary |
Addresses
Primary practice location
1325 W Main St
Cabot, AR 72023-2458
Mailing address
1207 Walrose Cir
Searcy, AR 72143-9567
Phone (618) 339-2693
Other names 1
- Kaitlin Morkassel
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 |
|---|---|---|---|
| PD15820 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1325 W Main St
Cabot, AR 72023
Phone (501) 941-3131
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": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1619547668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 WALROSE CIR",
"city": "SEARCY",
"state": "AR",
"postal_code": "721439567",
"telephone_number": "618-339-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 W MAIN ST",
"city": "CABOT",
"state": "AR",
"postal_code": "720232458",
"telephone_number": "501-941-3131",
"fax_number": "501-941-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEK",
"first_name": "KAITLIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "MORKASSEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.