Active NPI
Amber Ballard
- Pharmacist
- Chillicothe, MO
National Provider Identifier
1629426887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013029524
- Practice address
- 404 S Washington St
Chillicothe, MO 64601-3036 - Phone
- (660) 707-0906
- NPI assigned
- May 28, 2016
- Last updated
- Oct 26, 2020
- 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 | 2013029524 | MO | Primary |
Addresses
Primary practice location
404 S Washington St
Chillicothe, MO 64601-3036
Mailing address
601 Locust St
Chillicothe, MO 64601-2250
Phone (660) 646-7455
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 |
|---|---|---|---|
| 2013029524 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1629426887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LOCUST ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646012250",
"telephone_number": "660-646-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S WASHINGTON ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646013036",
"telephone_number": "660-707-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "AMBER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-28",
"last_updated": "2020-10-26",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013029524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.