Active NPI
Sammy Dale Ballenger, RPH
- Pharmacist
- Oroville, CA
National Provider Identifier
1851647994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43573
- Practice address
- 6073 Kanaka Ave
Oroville, CA 95966-3920 - Phone
- (530) 589-5687
- NPI assigned
- Jul 26, 2012
- Last updated
- Jul 26, 2012
- 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 | 43573 | CA | Primary |
Addresses
Primary practice location
6073 Kanaka Ave
Oroville, CA 95966-3920
Mailing address
6073 Kanaka Ave
Oroville, CA 95966-3920
Phone (530) 589-5687
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 |
|---|---|---|---|
| 43573 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1851647994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6073 KANAKA AVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959663920",
"telephone_number": "530-589-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6073 KANAKA AVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959663920",
"telephone_number": "530-589-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLENGER",
"first_name": "SAMMY",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.