Active NPI
Atulkumar Gandhi, B.PHARM, R.PH
- Pharmacist
- Ypsilanti, MI
National Provider Identifier
1013677640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034218
- Practice address
- 4870 W Clark Rd Ste 108
Ypsilanti, MI 48197-1104 - Phone
- (734) 528-9144
- Fax
- (734) 528-9144
- NPI assigned
- Dec 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034218 | MI | Primary |
Addresses
Primary practice location
4870 W Clark Rd Ste 108
Ypsilanti, MI 48197-1104
Mailing address
4870 W Clark Rd Ste 108
Ypsilanti, MI 48197-1104
Phone (734) 528-9144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302034218 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Ambey LLC | Current | Accepting new patients |
Locations
4870 W Clark Rd
Ste 108
Ypsilanti, MI 48197
Phone (734) 528-9144
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ypsilanti, MI
- NPI 1013140573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1013677640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 W CLARK RD STE 108",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971104",
"telephone_number": "734-528-9144",
"fax_number": "734-528-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 W CLARK RD STE 108",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971104",
"telephone_number": "734-528-9144",
"fax_number": "734-528-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "ATULKUMAR",
"credential": "B.PHARM, R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.