Gregory Paul Failla, PHARMD
Individual provider Active NPI Pharmacist · Chadron, NE
NPI 1720107428 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720107428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12556 (NE)
- Practice address
- 302 Main St
Chadron, NE 69337-2395 - Phone
- (308) 432-2400
- Fax
- (308) 432-6759
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12556 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12556 | NE | Yes |
Addresses
Primary practice location
302 Main St
Chadron, NE 69337-2395
Mailing address
902 Chadron Ave
Chadron, NE 69337-2645
Phone (308) 432-6624
Other providers in Chadron, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.