IndividualActive
Philip Ballance
NPI 1205164126 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Coeur D Alene, ID
Provider details
- NPI number
- 1205164126
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5974 (MT)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 W Emma Ave
Coeur D Alene, ID 83814-2531
Phone: (208) 665-1700
Fax: (208) 667-8649
Street-level locationGet directions
Mailing address
915 W Emma Ave
Coeur D Alene, ID 83814-2531
Additional practice locations (1)
- 800 Hospital DrColumbia, MO 65201-5275Phone: (573) 814-6000
Registry dates
- Enumerated
- 2009-12-04
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.