Individual provider Active NPI

Catherine Anne Gember, RPH

  • Pharmacist
  • Coloma, MI
National Provider Identifier
1104187780
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302023566 Issued in MI
Practice address
6577 Paw Paw Ave
Coloma, MI 49038-8805
Phone
(269) 468-6207
Fax
(269) 468-6707
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302023566 MI Primary

Addresses

Primary practice location

6577 Paw Paw Ave
Coloma, MI 49038-8805

Mailing address

6577 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 468-6207

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

LicenseStateTypeSpecialty
5302023566MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coloma Pharmacy Inc Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1104187780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6577 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-468-6207",
            "fax_number": "269-468-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6577 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-468-6207",
            "fax_number": "269-468-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMBER",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coloma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.