Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin L Ballenger

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629721964

Austin L Ballenger is a Student in an Organized Health Care Education/Training Program in Huntsville, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

6070 Moores Mill Rd
Huntsville, AL 35811-9260
Phone: (256) 852-5770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 23723 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629721964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2022
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address6070 Moores Mill Rd, Huntsville, AL 35811-9260

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