Gibraltar Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007472 Issued in MI

Legal business name

GIBRALTAR PHARMACY INC

Doing business as

Gibraltar Sav-Mor Pharmacy #16

Practice address

29255 W Jefferson Ave
Gibraltar, MI 48173-9738

Phone

(734) 675-0000

Fax

(734) 675-0066

NPI assigned

Aug 27, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Booker, RPHNPI 1386732519

Title

Pharmacist/MGR

Phone

(734) 675-0000

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• GIBRALTAR SAV-MOR PHARMACY #16 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Booker, RPH

  • Pharmacist
  • Gibraltar, MI
  • NPI 1386732519
  Authorized official Same address or phone

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1609984079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25625 SOUTHFIELD RD STE 206",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751854",
            "telephone_number": "248-348-1570",
            "fax_number": "248-348-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 W JEFFERSON AVE",
            "city": "GIBRALTAR",
            "state": "MI",
            "postal_code": "481739738",
            "telephone_number": "734-675-0000",
            "fax_number": "734-675-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBRALTAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHARMACIST/MGR",
        "authorized_official_telephone_number": "734-675-0000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007472",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2363137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIBRALTAR SAV-MOR PHARMACY #16",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Booker, RPH
• William Cain
• City of Gibraltar (Gibraltar PSD)
• Conscious Mind Psychiatry of Michigan (Conscious Mind Psychiatry)
• Tim Charles Desano
• Donovan Matthew Haddix, RPH
• Warren Michael Horbal, D.D.S.
• Jennifer Lyn Johnson, MS LLP
• Elizabeth Sarah Jordan
• Nida Kased

• Community/Retail Pharmacy in Gibraltar, MI
• Providers in Gibraltar, 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 Sep 19, 2025; 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.