Cornell Badura
Individual provider Active NPI Pharmacist · Cedar Falls, IA
NPI 1720128010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720128010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19391 (IA)
- Practice address
- Student Health Ctr
Cedar Falls, IA 50614-0221 - Phone
- (319) 273-2154
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 19391 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Northern Iowa | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19391 | IA | Yes |
Addresses
Primary practice location
Student Health Ctr
Cedar Falls, IA 50614-0221
Mailing address
2019 Greenhill Dr
Cedar Falls, IA 50613-6127
Other providers in Cedar Falls, IA
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.