Gabriel Denzel Paulsen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302416207 Issued in MI

Practice address

430 N Lake St
Boyne City, MI 49712-1104

Phone

(231) 582-2101

NPI assigned

Jun 19, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Fare, LLC

  • Community/Retail Pharmacy
  • Owosso, MI
  • NPI 1508001207
  NPD (past)
• Family Fare, LLC

  • Pharmacy
  • Boyne City, MI
  • NPI 1952401283
  NPD (past)

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1548196405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ARLO ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497128918",
            "telephone_number": "231-838-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N LAKE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121104",
            "telephone_number": "231-582-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "GABRIEL",
        "middle_name": "DENZEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Frederick Noble, PT
• Northern Michigan Surgical Suites, LLC
• Joel W Paga, DDS
• Park View Family Dentistry
• Passage to Empowerment Counseling, LLC
• Alisha Peck-Muma, LMSW
• Ricky Lynn Pethers, DC
• Teresa Potter
• Progressive Dental Care
• Pyramid of Hope Counseling

• Pharmacist in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.