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Deactivated NPI 1427311372 Deactivated / Inactive NPI Male Practitioner

Paul Bryan Dillenberg , RPH

Pharmacist • Gallup, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Dillenberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2012
NPI Deactivation Date March 05, 2026
Total Practice Duration ~14 Years of Practice (2012 – 2026)

Professional Overview & Biography Verified Profile Summary

Paul Dillenberg, RPH was a registered Pharmacist practicing in Gallup, NM. Throughout an active medical career spanning 14 years, Paul Dillenberg provided care at the practice location at 516 E NIZHONI BLVD until profile deactivation on 2026-03-05.

Practice Location & Contact Primary Location

Practice Address

516 E Nizhoni Blvd

Gallup, NM 873015748

Telephone 5552221000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
97 Specialists

Practicing in Gallup, NM (2025 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 27470

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Oluremi Esuruoso , RN

Registered Nurse

NPI 1003115833

Registered Nurse

Alice Smith , RN

Registered Nurse

NPI 1003260415

Registered Nurse

Jodie Inskeep , RN

Registered Nurse

NPI 1003351040

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Jody Acord , RN

Registered Nurse

NPI 1003375783

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 05, 2026

Record deactivated on March 05, 2026

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2012

Registered at 516 E NIZHONI BLVD, GALLUP, NM 873015748 (Tel: 5552221000)

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Updated Business Mailing Address June 15, 2012

Registered at 300 S VALLEY VIEW RD, GALLUP, NM 873014969 (Tel: 8177073394)

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Provider Name / Credentials Updated June 15, 2012

Recorded as PAUL DILLENBERG, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Pharmacist (License #27470 in TX)

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Initial NPI Registration & Enumeration June 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427311372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2012
Last Update: June 15, 2012
Deactivation Date: March 05, 2026

Mailing Address

300 S Valley View Rd

Gallup, NM 873014969

Phone: 8177073394

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.