GBOGBARA INC (NPI# 1063860484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063860484 |
| Entity Type | Organization |
| Organization Name | GBOGBARA INC |
| Other Organization Name | KING PHARMACY |
| Practice Address |
28350 Gratiot Ave Roseville MI 48066 |
| Practice Telephone | 5862188181 |
| Practice Fax Number | 5868843488 |
| Mailing Telephone | 5862188181 |
| Mailing Fax Number | 5868843488 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | MR. LENYIE NGBOGBARA (PRESIDENT) |
| Authorized Official Telephone | 3133194444 |
| Is Organization Subpart | Y |
| Parent Organization Name | GBOGBARA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010945 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160295 | 01 |
| Other Name | Type Code |
|---|---|
| King Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982715447 | Gbogbara Inc | Pharmacy | 12871 E Jefferson, Detroit, MI 48215-2754 | 2006-08-31 |
| Street Address |
28350 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811943947 | Dallah Medcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 28350 Gratiot Ave, Roseville, MI 48066-4208 | 2006-05-26 |
| 1447709662 | Waleed Rhebi | Dentist | 28350 Gratiot Ave, Ste. B, Roseville, MI 48066-4208 | 2016-09-29 |
| 1427439272 | Index Meds Pharmacy No-3 LLC | Pharmacy | 28350 Gratiot Ave, Roseville, MI 48066-4208 | 2015-06-17 |
| 1366881740 | Fatima Siddiqui | Dentist | 28350 Gratiot Ave, Ste. B, Roseville, MI 48066-4208 | 2013-06-19 |
| 1629267679 | Park Family Dental, P.C. | Dentist | 28350 Gratiot Ave, Roseville, MI 48066-4208 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1497181523 | Remedyrx Pharmacy | Pharmacy | 1420 E Roseville Pkwy Ste 130, Roseville, CA 95661-3081 | 2013-09-20 |
| 1639329816 | Rbf LLC | Pharmacy | 1201 Larpenteur Ave W, Roseville, MN 55113-6318 | 2008-09-24 |
| 1053469866 | Kaiser Foundation Health Plan Inc | Pharmacy | 1600 Eureka Rd Fl 2, Roseville, CA 95661-3027 | 2007-01-08 |
| 1760530372 | Kaiser Foundation Health Plan Inc | Pharmacy | 1840 Sierra Gardens Dr, Roseville, CA 95661-2912 | 2007-01-08 |
| 1891886974 | Family Drug Pharmacy, Inc | Pharmacy | 19011 E 10 Mile Rd Ste B, Roseville, MI 48066-3901 | 2006-09-27 |
| 1508978446 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 28774 Gratiot Ave, Roseville, MI 48066-4257 | 2006-08-31 |
| 1558471219 | Bel Air Market Inc | Pharmacy | 1039 Sunrise Ave, Roseville, CA 95661-7004 | 2006-08-30 |
| 1255344883 | Axlines Inc | Pharmacy | 125 North Main St, Roseville, IL 61473 | 2006-08-14 |
| 1245246883 | Walgreen Co | Pharmacy | 2635 Rice St, Roseville, MN 55113-3717 | 2006-08-01 |
| 1457373151 | Garfield Beach Cvs LLC | Pharmacy | 10451 Fairway Dr, Roseville, CA 95678-1987 | 2006-07-24 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.