David Neil Gremaud, R PH
Individual provider Active NPI Pharmacist · Ferguson, MO
NPI 1245507151 · NPPES record last updated Nov 20, 2011
Key facts
- NPI
- 1245507151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 042435 (MO)
- Practice address
- 190 N Florissant Rd
Ferguson, MO 63135-1942 - Phone
- (314) 521-4518
- Fax
- (314) 522-6214
- NPI assigned
- Nov 20, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042435 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042435 | MO | Yes |
Addresses
Primary practice location
190 N Florissant Rd
Ferguson, MO 63135-1942
Mailing address
190 N Florissant Rd
Ferguson, MO 63135-1942
Phone (314) 521-4518
Other providers in Ferguson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2011. 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.