Active NPI
Kevin Ray Gamble
- Pharmacy Technician
- Livonia, MI
National Provider Identifier
1386852549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 120104451938143
- Practice address
- 29200 Schoolcraft Rd
Livonia, MI 48150-2228 - Phone
- (734) 523-1710
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 120104451938143 | MI | Primary |
Addresses
Primary practice location
29200 Schoolcraft Rd
Livonia, MI 48150-2228
Mailing address
1961 Ridgeview
Lot 7
Ypsilanti, MI 48198-9515
Phone (734) 485-1319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120104451938143 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386852549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 RIDGEVIEW",
"address_2": "LOT 7",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989515",
"telephone_number": "734-485-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29200 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502228",
"telephone_number": "734-523-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "KEVIN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "120104451938143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.