Individual provider Active NPI

Alban Balliu

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1760282545
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP459169 Issued in PA
Practice address
2640 E Cumberland St
Philadelphia, PA 19125-3709
Phone
(215) 291-8315
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP459169 PA Primary

Addresses

Primary practice location

2640 E Cumberland St
Philadelphia, PA 19125-3709

Mailing address

4701 Ashville St
Philadelphia, PA 19136-3301
Phone (267) 679-2012

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

State licenses

LicenseStateTypeSpecialty
RP459169PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. CurrentSince Mar 24, 2025 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Mar 24, 2025 Accepting new patients

Locations

2640 E Cumberland St
Philadelphia, PA 19125
Phone (215) 291-8315

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1760282545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 ASHVILLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363301",
            "telephone_number": "267-679-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E CUMBERLAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253709",
            "telephone_number": "215-291-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIU",
        "first_name": "ALBAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP459169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.