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Gregory Badura

Pharmacist in Omaha, NE. Individual provider (NPI-1).

NPI number1124422902
StatusActive
Last updated in NPPESOct 22, 2014

Details

NPI
1124422902
Entity type
Individual (NPI-1)
Name
Gregory Badura
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2014
Last updated
Oct 22, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist8939NEYes

Practice location

4361 S 153rd Cir
Omaha, NE 68137-5114

Phone 402-896-8965

Mailing address

4361 S 153rd Cir
Omaha, NE 68137-5114

Phone 402-896-8965

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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