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

Zackery Ray Colgrove, PHARMD

Individual provider Pharmacist · NPI 1063130680

Zackery Ray Colgrove, PHARMD is a Pharmacist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2022.

Licensed in
NE
In the registry since
2022
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4405 N 72nd St
Omaha, NE 68134-2350
Phone: (402) 571-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17626 (NE)

Record details

NPI number1063130680
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

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