Gomaa LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010999 Issued in MI

Legal business name

GOMAA LLC

Doing business as

Medlife Rx

Practice address

2191 South Blvd Ste 1B
Auburn Hills, MI 48326

Phone

(248) 791-7566

Fax

(248) 791-7567

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Gomaa, PHARMD

Title

Owner

Phone

(201) 952-0660

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Medlife Rx Doing business as

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1205282266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD STE 1B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263481",
            "telephone_number": "248-791-7566",
            "fax_number": "248-791-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD STE 1B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "248-791-7566",
            "fax_number": "248-791-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMAA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "GOMAA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-952-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010999",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205282266",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlife Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medlife Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Rochelle Giralte, BSSW
• Brianne Glombowski
• Jennifer Marie Goethals
• Jessica Erin Sausto Goldsmith, MS
• Kaeli Alexis Golembiewski
• Gomedi LLC
• Kerri Ann Gonda, M.A., CCC-SLP
• Abril Gonzalez-Diaz
• Angela M Goodman
• Rebecca Elizabeth-Claire Gorman, RDH

• Community/Retail Pharmacy in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.