Chadwick L Ball, PHARMD
Individual provider Active NPI Pharmacist · Mulvane, KS
NPI 1992308548 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1992308548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-13150 (KS)
- Practice address
- 1008 SE Louis Dr
Mulvane, KS 67110-1109 - Phone
- (316) 777-1601
- Fax
- (316) 777-1693
- NPI assigned
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-13150 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ball Brothers RX, LLC | Current | Accepting new patients | |
| Ball Brothers RX, LLC | Current | Accepting new patients |
Locations
1008 SE Louis Dr
Mulvane, KS 67110
Phone (316) 777-1601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13150 | KS | Yes |
Addresses
Primary practice location
1008 SE Louis Dr
Mulvane, KS 67110-1109
Mailing address
1008 SE Louis Dr
Mulvane, KS 67110-1109
Phone (316) 777-1601
Other providers in Mulvane, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.