Active NPI
Eleanor Balboa
- Pharmacist
- Elsa, TX
National Provider Identifier
1730629726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55603
- Practice address
- 512 E Edinburg
Elsa, TX 78543 - Phone
- (956) 262-9719
- NPI assigned
- Feb 24, 2017
- Last updated
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 55603 | TX | Primary |
Addresses
Primary practice location
512 E Edinburg
Elsa, TX 78543
Mailing address
512 E Edinburg
Elsa, TX 78543
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
Practice roles
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Elsa, TX
- NPI 1497197693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1730629726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E EDINBURG",
"city": "ELSA",
"state": "TX",
"postal_code": "78543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E EDINBURG",
"city": "ELSA",
"state": "TX",
"postal_code": "78543",
"telephone_number": "956-262-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBOA",
"first_name": "ELEANOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.