Gretchen Lynn Fabiano
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Crowley, TX
NPI 1104456433 · NPPES record last updated Jan 26, 2020
Key facts
- NPI
- 1104456433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 33030 (TX)
- Practice address
- 1004 S Crowley Rd
Crowley, TX 76036-3670 - Phone
- (817) 297-0006
- NPI assigned
- Jan 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33030 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past |
Accepting new patients | |
| Kroger Texas L P | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 33030 | TX | Yes |
Addresses
Primary practice location
1004 S Crowley Rd
Crowley, TX 76036-3670
Mailing address
1004 S Crowley Rd
Crowley, TX 76036-3670
Phone (817) 297-0006
Other providers in Crowley, TX
- Michael Elrod
- Embrace HCS Living, Inc.
- Sandra G Esmond
- Josias Eugene
- Grace Ewang
- Sharla Roach Farmer
- Felicia R Fields
- Camryn Finke
- Stephanie Ann Fitzmaurice
- Abigail Flores
All providers in Crowley, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.