Active NPI
Sandra F Balbino
- Pharmacist
- Wilbraham, MA
National Provider Identifier
1639774698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23139
- Practice address
- 1990 Boston Rd
Wilbraham, MA 01095-1102 - Phone
- (413) 543-8256
- Fax
- (413) 543-8287
- NPI assigned
- Nov 30, 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 | 23139 | MA | Primary |
Addresses
Primary practice location
1990 Boston Rd
Wilbraham, MA 01095-1102
Mailing address
PO Box 25
Wilbraham, MA 01095-0025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1639774698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010950025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951102",
"telephone_number": "413-543-8256",
"fax_number": "413-543-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBINO",
"first_name": "SANDRA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "23139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilbraham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.