Robin Ballatore, PHARMD, MPH
Individual provider Active NPI Pharmacist · Williston, FL
NPI 1689285397 · NPPES record last updated Aug 14, 2020
Key facts
- NPI
- 1689285397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS54979 (FL)
- Practice address
- 8 NW Main St
Williston, FL 32696-2043 - Phone
- (352) 528-3409
- Fax
- (352) 528-6459
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54979 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
8 NW Main St
Williston, FL 32696
Phone (352) 528-3409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54979 | FL | Yes |
Addresses
Primary practice location
8 NW Main St
Williston, FL 32696-2043
Mailing address
8 NW Main St
Williston, FL 32696-2043
Phone (352) 528-3409
Other names
- Robin Derby
Other providers in Williston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.