Active NPI
Sidney M Balick, RPH
- Pharmacist
- Glenmont, NY
National Provider Identifier
1811212699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022784
- Practice address
- 392 Feura Bush Rd
Glenmont, NY 12077-2954 - Phone
- (518) 462-5547
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022784 | NY | Primary |
| Geriatric Pharmacist | 1835G0303X | 022784 | NY |
Addresses
Primary practice location
392 Feura Bush Rd
Glenmont, NY 12077-2954
Mailing address
392 Feura Bush Rd
Glenmont, NY 12077-2954
Phone (518) 462-5547
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 |
|---|---|---|---|
| 022784 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1811212699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 FEURA BUSH RD",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772954",
"telephone_number": "518-462-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 FEURA BUSH RD",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772954",
"telephone_number": "518-462-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALICK",
"first_name": "SIDNEY",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "022784",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "022784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.