Kristy Balderson, PHARMACIST
Individual provider Active NPI Pharmacist · Ashland, VA
NPI 1992422398 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1992422398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202010664 (VA)
- Practice address
- 9555 Kings Charter Dr
Ashland, VA 23005-7994 - Phone
- (800) 753-0596
- Fax
- (804) 799-7917
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202010664 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202010664 | VA | Yes |
Addresses
Primary practice location
9555 Kings Charter Dr
Ashland, VA 23005-7994
Mailing address
8060 Wistar Glen Dr
Henrico, VA 23228-3620
Phone (804) 398-9069
Other names
- Kristy KB Elliott
Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. 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.