Wellformed AI

NPI 1952210668 · live from the CMS NPI Registry

Tessa Mae Ballard, PharmD

Pharmacist in Anchorage, AK. National Provider Identifier 1952210668, active.

NPI record

NPI1952210668 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location4315 Diplomacy Dr, Anchorage, AK 99508
Practice phone907-563-2662
Mailing address2002 W Cashatt Ave, Wasilla, AK 99654
EnumeratedSeptember 7, 2026
Last updatedSeptember 7, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000X240633 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.