Robin Ballatore, PHARMD, MPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54979 Issued in FL

Practice address

8 NW Main St
Williston, FL 32696-2043

Phone

(352) 528-3409

Fax

(352) 528-6459

NPI assigned

Aug 14, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robin Derby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #11306

  • Pharmacy
  • Williston, FL
  • NPI 1861677726
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1689285397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NW MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962043",
            "telephone_number": "352-528-3409",
            "fax_number": "352-528-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NW MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962043",
            "telephone_number": "352-528-3409",
            "fax_number": "352-528-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLATORE",
        "first_name": "ROBIN",
        "credential": "PHARMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "DERBY",
            "credential": "PHARMD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aa Senior Living and Total Care LLC
• Tanika Anthony
• Karen Arnold, ED.S.
• Rita Laverne Long Arrington, ARNP
• Cortney O'Connell Aubertine, APRN
• Attul Mulji Bharadwa, RPH
• Payal Bhatt Abraham, M.D.
• Amber Bowers, APRN
• Andrew Nelson Brice, PT/ATC
• Anita Brown

• Pharmacist in Williston, FL
• Providers in Williston, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.