Roodi Ghassan-Tobya Katoola

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302414608 Issued in MI

Practice address

5990 Sashabaw Rd
Clarkston, MI 48346-3154

Phone

(248) 736-1208

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By 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 1

Addresses

Other names 1

• N/a N/a Professional name

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1932823507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30704 HUNTSMAN DR E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311378",
            "telephone_number": "248-736-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463154",
            "telephone_number": "248-736-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATOOLA",
        "first_name": "ROODI",
        "middle_name": "GHASSAN-TOBYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Subhash Kapur, P.T.
• Andrea Karagosian, LLPC
• Joseph William Karasek, RPH
• Dennis John Kaszeta, LMSW, BCD
• Katherine Z French, D.O. L.L.C
• Kaelyn Kaul
• Vineet Kaul
• Rebecca Jean Keagy, O.D.
• Peter William Keelin, PH.D.
• Kenneth Gerald Keener, RPH

• Pharmacist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.