Active NPI
Thomas P Ball, RPH, CPH, CPE
- Pharmacist
- Crescent City, FL
National Provider Identifier
1760699250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS15306
- Practice address
- 1115 N Summit St
Crescent City, FL 32112-1721 - Phone
- (386) 698-4922
- Fax
- (386) 698-4903
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS15306 | FL | Primary |
Addresses
Primary practice location
1115 N Summit St
Crescent City, FL 32112-1721
Mailing address
PO Box 437
Lake Como, FL 32157-0437
Phone (386) 649-9354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PU 2508 | Other | FL | CONSULTANT |
| PS15306 | Other | FL | PHARMACIST |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS15306 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1760699250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 437",
"city": "LAKE COMO",
"state": "FL",
"postal_code": "321570437",
"telephone_number": "386-649-9354",
"fax_number": "386-467-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N SUMMIT ST",
"city": "CRESCENT CITY",
"state": "FL",
"postal_code": "321121721",
"telephone_number": "386-698-4922",
"fax_number": "386-698-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "RPH, CPH, CPE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS15306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSULTANT",
"identifier": "PU 2508",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PS15306",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crescent City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.