Active NPI
Rox Ibrahim Gatia II, PHARMD
- Pharmacist
- Detroit, MI
National Provider Identifier
1922298611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034159
- Practice address
- 2799 W. Grand Blvd
Department of Pharmacy Services
Detroit, MI 48202 - Phone
- (313) 916-7714
- Fax
- (313) 916-1302
- NPI assigned
- Jul 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034159 | MI | Primary |
Addresses
Primary practice location
2799 W. Grand Blvd
Department of Pharmacy Services
Detroit, MI 48202
Mailing address
2799 W. Grand Blvd
Department of Pharmacy Services
Detroit, MI 48202
Phone (313) 916-7714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302034159 | Other | MI | PHARMACIST LICENSE NUMBER |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302034159 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1922298611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W. GRAND BLVD",
"address_2": "DEPARTMENT OF PHARMACY SERVICES",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-7714",
"fax_number": "313-916-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W. GRAND BLVD",
"address_2": "DEPARTMENT OF PHARMACY SERVICES",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-916-7714",
"fax_number": "313-916-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATIA",
"first_name": "ROX",
"middle_name": "IBRAHIM",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-28",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302034159",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.