BALLOU PHARMACEUTICAL SERVICES INC (NPI# 1598837395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598837395 |
Entity Type | Organization |
Organization Name | BALLOU PHARMACEUTICAL SERVICES INC |
Other Organization Name | BALLOU PHARMACEUTICAL |
Practice Address |
207 Highway 52 Byp W Lafayette TN 37083-1728 |
Practice Telephone | 6156886336 |
Practice Fax Number | 6156886338 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ANGELA BALLOU (PRESIDENT PHARMACIST) |
Authorized Official Telephone | 6156886336 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
3660 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 4434988 | 01 |
Other Name | Type Code |
---|---|
BALLOU PHARMACEUTICAL | Doing Business As Name - Organization |
Street Address |
207 HIGHWAY 52 BYP W |
City | LAFAYETTE |
State | TN |
Zip Code | 37083-1728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023013844 | Angela Kay Ballou | Pharmacist | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2005-06-17 |
1982246658 | Hannah Stirnaman | Nurse Practitioner | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2019-10-14 |
1649754524 | Jordain Paige Ferguson Barnett | Nurse Practitioner | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2018-09-18 |
1487021663 | Ashley Gipson | Nurse Practitioner | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2015-08-24 |
1154539591 | Primary Healthcare Group Inc | Nurse Practitioner | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2007-05-18 |
1194875179 | Priscilla Ann Hale | Registered Nurse | 207 Highway 52 Byp W, Lafayette, TN 37083-1728 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
Find all providers in zip 37083 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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1609827559 | Gibson Sales Lp | Pharmacy | 505 Bertrand Dr, Lafayette, LA 70506-5569 | 2006-05-15 |
1932587813 | Icare Pharmacy Verot School Rd LLC | Pharmacy | 626 Verot School Rd, Suite F, Lafayette, LA 70508-5094 | 2015-05-12 |
1790840619 | Medi-thrift Inc | Pharmacy | 324 W Patton St, Lafayette, GA 30728-0791 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
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1467091488 | Phipps Pharmacy Inc | Pharmacy | 20190 Main St E, Huntingdon, TN 38344-4119 | 2019-12-23 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1700444163 | Parish Pharmacy Enterprise LLC | Pharmacy | 1162 W Poplar Ave, Collierville, TN 38017-3196 | 2019-05-31 |
1538726211 | Airville Pharmacy, LLC | Pharmacy | 1785 Airport Rd Ste A, Gallatin, TN 37066-3740 | 2019-05-29 |
1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
1922575315 | The Compounding Lab | Pharmacy | 714 W Market St Ste 101, Johnson City, TN 37604-5483 | 2018-10-24 |
1013495472 | Sarjo Pharmacy, Inc. | Pharmacy | 3385 Airways Blvd Ste 217, Memphis, TN 38116-3808 | 2018-07-29 |
1518443241 | Jj Beans At Lenox LLC | Pharmacy | 6900 Lenox Village Dr Ste 14, Nashville, TN 37211-7366 | 2018-07-16 |
1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
1144747411 | River City Pharmacy Inc | Pharmacy | 5564 Little Debbie Pkwy, Suite 102, Ooltewah, TN 37363-4356 | 2017-08-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.