BALAMATHEW R PUDOTA
NPI 1255684643
Pharmacist in Flint, MI

Active since October 23, 2012
502 S BALLENGER HWY, FLINT, MI 48532(810) 424-9270 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Balamathew R Pudota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALAMATHEW R PUDOTA (NPI 1255684643) is an individual pharmacist in Flint, Michigan, licensed in Michigan (5302039319) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1255684643
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBALAMATHEW R PUDOTA
Location Address502 S BALLENGER HWYFlint, MI 48532-3640
Mailing Address2160 E Hill Rd, Apt #41Grand Blanc, MI 48439-5183 · (810) 919-8567
Sole ProprietorYes
Enumeration DateOctober 23, 2012
NPI 1255684643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302039319
Definition

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.

502 S BALLENGER HWY, Flint, MI 48532

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
502 S BALLENGER HWY
FLINT, MI 48532
Pharmacy
502 S BALLENGER HWY
FLINT, MI 48532
Pharmacist
502 S BALLENGER HWY
FLINT, MI 48532
Pharmacist
502 S BALLENGER HWY
FLINT, MI 48532
Pharmacist
502 S BALLENGER HWY
FLINT, MI 48532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balamathew Pudota's NPI number?

The NPI number for Balamathew Pudota is 1255684643. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Balamathew Pudota located?

Balamathew Pudota practices at 502 S Ballenger Hwy, Flint, MI 48532. The listed phone number is (810) 424-9270.

What is Balamathew Pudota's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Balamathew Pudota was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.