Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary T Dirisio, PHARMD

Individual provider Clinical Pharmacology Physician · NPI 1558873828

Gary T Dirisio, PHARMD is a Clinical Pharmacology Physician in Nellis AFB, Nevada. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-3578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pharmacology Physician (primary) Taxonomy 208U00000X · Licence 39645 (CA)
Clinical Pharmacology Physician Taxonomy 208U00000X · Licence 09138 (NV)

Record details

NPI number1558873828
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 26, 2017
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600