Ballenger Road Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BALLENGER ROAD PHARMACY LLC

Doing business as

Ballenger Road Pharmacy

Practice address

1160 N Ballenger Hwy
Flint, MI 48504

Phone

(108) 820-7039

Fax

(810) 820-7094

NPI assigned

Dec 4, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hasmukhkumar Patel

Title

Member

Phone

(810) 820-7039

Specialties & licenses 2

Addresses

Other names 1

• Ballenger Road Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1669248399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-820-7039",
            "fax_number": "810-820-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "108-820-7039",
            "fax_number": "810-820-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLENGER ROAD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HASMUKHKUMAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-820-7039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballenger Road Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ballenger Road Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohanad Ballani
• Randi Lynn Ballard-Dickerson, DNP, FNP-C
• Herbert Wayne Ballard III
• Roslyn Ballard, OD
• Sheila Rochelle Ballard, NURSING ASSISTANT
• Ballenger Road Scanner LLC
• Jaime T Ballesteros, MD
• Ashley N Ballinger, LPN
• Sarah Elizabeth Balogh, MA, LPC
• Balvant K Ganatra MD PC

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.