Individual provider Active NPI

Kristine E Balla, RPH

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1902124977
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP040086L Issued in PA
Practice address
1130 Perry Hwy
Ste 35
Pittsburgh, PA 15237-2142
Phone
(412) 369-4267
Fax
(412) 369-8041
NPI assigned
May 14, 2010
Last updated
May 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP040086L PA Primary

Addresses

Primary practice location

1130 Perry Hwy
Ste 35
Pittsburgh, PA 15237-2142

Mailing address

1130 Perry Hwy
Ste 35
Pittsburgh, PA 15237-2142
Phone (412) 369-4267

Other identifiers 1

IdentifierTypeStateIssuer
RP040086LOtherPAPA STATE LICENSE NUMBER

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
RP040086LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients

Organizations & group practices 1

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": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1902124977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PERRY HWY",
            "address_2": "STE 35",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372142",
            "telephone_number": "412-369-4267",
            "fax_number": "412-369-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PERRY HWY",
            "address_2": "STE 35",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372142",
            "telephone_number": "412-369-4267",
            "fax_number": "412-369-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLA",
        "first_name": "KRISTINE",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP040086L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "RP040086L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.