Individual provider Active NPI

Patricia Joanne Balzarini, RPH

  • Geriatric Pharmacist
  • Eagle River, AK
National Provider Identifier
1891043980
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
988 Issued in AK
Practice address
30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737
Phone
(907) 696-7534
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 988 AK Primary
Geriatric Pharmacist 1835G0303X 3151 HI

Addresses

Primary practice location

30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737

Mailing address

30840 Prudhoe Bay Ave
Eagle River, AK 99577-9737
Phone (907) 696-7534

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

LicenseStateTypeSpecialty
988AKMDGeriatric Pharmacist
3151HIMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1891043980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30840 PRUDHOE BAY AVE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779737",
            "telephone_number": "907-696-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30840 PRUDHOE BAY AVE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779737",
            "telephone_number": "907-696-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZARINI",
        "first_name": "PATRICIA",
        "middle_name": "JOANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "AK",
            "license": "988",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "HI",
            "license": "3151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

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

Verify at the official NPI Registry.