Active NPI
Gregory Badura
- Pharmacist
- Omaha, NE
National Provider Identifier
1124422902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8939
- Practice address
- 4361 S 153Rd Cir
Omaha, NE 68137-5114 - Phone
- (402) 896-8965
- NPI assigned
- Oct 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8939 | NE | Primary |
Addresses
Primary practice location
4361 S 153Rd Cir
Omaha, NE 68137-5114
Mailing address
4361 S 153Rd Cir
Omaha, NE 68137-5114
Phone (402) 896-8965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1124422902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4361 S 153RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375114",
"telephone_number": "402-896-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 S 153RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375114",
"telephone_number": "402-896-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADURA",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.