BALLANTYNE PHARMACY LLC (NPI# 1942537030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942537030 |
| Entity Type | Organization |
| Organization Name | BALLANTYNE PHARMACY LLC |
| Other Organization Name | UNION PHARMACY |
| Practice Address |
3419 Toringdon Way Ste A-108 Charlotte NC 28277-2427 |
| Practice Telephone | 4438653281 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | DR. PRINCE KWADWO BOAKYE (OWNER (CEO)) |
| Authorized Official Telephone | 4438653281 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
10384 | NC | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Union Pharmacy | Former Legal Business Name - Organization |
| Street Address |
3419 TORINGDON WAY STE A-108 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352266 | Jamilah E Green | Pharmacist | 3013 Oconee Ln, Charlotte, NC 28213-4077 | 2020-09-25 |
| 1467727560 | Eric Patrice Sede Nietcho | Pharmacist | 4107 Aldershot Ct Apt C, Charlotte, NC 28211-4536 | 2012-03-21 |
| 1821299439 | Daniel M Tassone | Pharmacist | 2901 N Davidson St, Apt 251, Charlotte, NC 28205-1078 | 2007-05-30 |
| 1255459400 | Michael Cecil Mcilwain | Pharmacist | 8110 Mallard Creek Rd, Charlotte, NC 28262-2238 | 2007-03-26 |
| 1003986738 | Kerry Anne Stiegler | Pharmacist | 5516 Central Ave, Charlotte, NC 28212-2708 | 2006-11-09 |
| 1447878053 | Kristen Nicole Friedland | Pharmacist | 1167 E Clinton Trl, Charlotte, MI 48813-7318 | 2020-07-09 |
| 1306342035 | Maryann Choy-ames | Pharmacist | 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 | 2018-04-02 |
| 1013300961 | Laura Wieland | Pharmacist | 1167 E Clinton Trl, Charlotte, MI 48813-7318 | 2015-03-16 |
| 1265843031 | William Claude Biny | Pharmacist | 1167 E Clinton Trl, Charlotte, MI 48813-7318 | 2014-05-15 |
| 1720498017 | Christin Othmer | Pharmacist | 1167 E Clinton Trl, Charlotte, MI 48813-7318 | 2014-05-07 |
| Find all providers in CHARLOTTE | ||||
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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.