Ricki Joseph Gerlach, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

1401-0452-0763-960 Issued in DC

Practice address

4646 John R St
Outpatient Pharmacy 118CP
Detroit, MI 48201-1916

Phone

(313) 576-4616

Fax

(313) 576-1105

NPI assigned

Aug 11, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1508878539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16426 MANCHESTER AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211128",
            "telephone_number": "586-306-7198",
            "fax_number": "313-576-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "OUTPATIENT PHARMACY 118CP",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-4616",
            "fax_number": "313-576-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "RICKI",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "DC",
            "license": "1401-0452-0763-960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meyer Gershater, MD
• Danielle Rae Gertz, NURSE PRACTITIONER
• Ronald Gervin
• Gesher Human Services

• Pharmacy Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacy Technician in Michigan

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

Verify at the official NPI Registry.