Individual provider Active NPI

Ana Maria Balladares, PHARMACIST

  • Pharmacist
  • Miami, FL
National Provider Identifier
1922688787
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS33361 Issued in FL
Practice address
10404 W Flagler St Ste 20-21
Miami, FL 33174-1615
Phone
(305) 223-2324
Fax
(305) 223-6028
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS33361 FL Primary

Addresses

Primary practice location

10404 W Flagler St Ste 20-21
Miami, FL 33174-1615

Mailing address

10404 W Flagler St Ste 20-21
Miami, FL 33174-1615
Phone (305) 223-2324

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Abacus Direct

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

State licenses

LicenseStateTypeSpecialty
PS33361FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1922688787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST STE 20-21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741615",
            "telephone_number": "305-223-2324",
            "fax_number": "305-223-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST STE 20-21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741615",
            "telephone_number": "305-223-2324",
            "fax_number": "305-223-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLADARES",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Abacus",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10404 W Flagler St Ste 20-21",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331741615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.