Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558965491 Individual Practitioner Female Practitioner

Surya Lakshmi Rani Balusu , RPH

Pharmacist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Surya Balusu, RPH is a registered healthcare professional specializing in Pharmacist in Bloomington, IL. Practice services are available at 1130 S VETERANS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1130 S Veterans Pkwy

Bloomington, IL 617047117

Telephone 3096611839
Associated Practice Facility / Clinic
🏢 Highland Park Cvs, L.l.c. Facility NPI 1316178064

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Bloomington, IL (9983 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: 2020-11-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051293215

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

5 Associated Practitioners
NPI 1154924025

Doctor of Pharmacy (Pharm.D.)

Tyler Ahrens

Pharmacist

NPI 1194646398
NPI 1457989824
Rabia Sheikh

Pharmacist

NPI 1497343842
Leslie Carter , FNP

Nurse Practitioner - Family

NPI 1619499829

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2020

Registered at 1130 S VETERANS PKWY, BLOOMINGTON, IL 617047117 (Tel: 3096611839)

📍
Updated Business Mailing Address November 22, 2020

Registered at 1130 S VETERANS PKWY, BLOOMINGTON, IL 617047117 (Tel: 3096611839)

👤
Provider Name / Credentials Updated November 22, 2020

Recorded as SURYA BALUSU, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2020

Pharmacist (License #051293215 in IL)

🟢
Initial NPI Registration & Enumeration November 22, 2020

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: 1558965491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2020
Last Update: November 22, 2020
Sole Proprietor: No

Mailing Address

1130 S Veterans Pkwy

Bloomington, IL 617047117

Phone: 3096611839

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.