Nathaniel Roy Ballam, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

7430082 Issued in UT

Practice address

1356 E Highway 193
Layton, UT 84040-8533

Phone

(801) 771-2994

Fax

(801) 771-2996

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Layton, UT
  • NPI 1205853496
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1730736190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 E HIGHWAY 193",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840408533",
            "telephone_number": "801-771-2994",
            "fax_number": "801-771-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 E HIGHWAY 193",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840408533",
            "telephone_number": "801-771-2994",
            "fax_number": "801-771-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 E Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844055202",
            "country_code": "US",
            "telephone_number": "801-479-6893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLAM",
        "first_name": "NATHANIEL",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0021737",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8372",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7430082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Morgan Bakken
• Joseph Balaich, RBT
• Bonnie Baldwin
• Dana Baldwin
• Margaret Baldwin, ACMHC
• Richard Grant Ballam, RPH
• Shaylin Ballard
• Emily Dawn Bankhead, FNP-C
• Brenda Banks, OTR/L
• Travis Banks, OTR/L

• Pharmacist in Layton, UT
• Providers in Layton, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.