Active NPI
Balbonis RX Inc
Doing business as Balbonis Drug Store
- Community/Retail Pharmacy
- Plymouth, MA
National Provider Identifier
1669272308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BALBONIS RX INC
- Doing business as
- Balbonis Drug Store
- Practice address
- 289 Court St
Plymouth, MA 02360-4380 - Phone
- (508) 746-1251
- Fax
- (508) 747-1549
- NPI assigned
- Mar 13, 2025
- Last updated
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Salman Bashir
- Title
- President
- Phone
- (508) 991-1008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
289 Court St
Plymouth, MA 02360-4380
Mailing address
289 Court St
Plymouth, MA 02360-4380
Phone (508) 746-1251
Other names 1
- Balbonis Drug Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251013000317 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880181106 | Practice locations: Plymouth, MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Plymouth, MA
- NPI 1508457227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1669272308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 COURT ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604380",
"telephone_number": "508-746-1251",
"fax_number": "508-747-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 COURT ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604380",
"telephone_number": "508-746-1251",
"fax_number": "508-747-1549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALBONIS RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "BASHIR",
"authorized_official_first_name": "SALMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-991-1008",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balbonis Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.