Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245277888 Individual Practitioner Male Practitioner

Dr. Mark Ballesteros , PharmD

Pharmacist • Peterson Afb, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ballesteros, PharmD is a registered healthcare professional specializing in Pharmacist in Peterson Afb, CO. Practice services are available at 559 VINCENT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

559 Vincent St

Peterson Afb, CO 809141541

Telephone 7195561108
Associated Practice Facility / Clinic
🏢 21st Medgrp-Peterson Facility NPI 1942286224

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peterson Afb, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Peterson Afb, CO (4487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-23
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ 12859

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1760570337

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 23, 2021

Registered at 559 VINCENT ST, PETERSON AFB, CO 809141541 (Tel: 7195561108)

📍
Updated Business Mailing Address March 23, 2021

Registered at 559 VINCENT ST, PETERSON AFB, CO 809141541 (Tel: 7195561108)

📍
Updated Practice Location April 09, 2018

Registered at 3458 NEELY RD, JB MDL, NJ 086415312 (Tel: 6097549046)

📍
Updated Business Mailing Address April 09, 2018

Registered at 3458 NEELY RD, JB MDL, NJ 086415312 (Tel: 6097549046)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237656)

📍
Updated Business Mailing Address July 08, 2007

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237656)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BALLESTEROS, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #12859 in AZ)

🟢
Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245277888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: March 23, 2021
Sole Proprietor: No

Mailing Address

559 Vincent St

Peterson Afb, CO 809141541

Phone: 7195561108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.