Healthcare Provider Details

I. General information

NPI: 1487290557
Provider Name (Legal Business Name): GERALD KARIM GAPPY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31200 SCHOENHERR RD
WARREN MI
48088-7048
US

IV. Provider business mailing address

40553 RIVERBEND DR
STERLING HEIGHTS MI
48310-6994
US

V. Phone/Fax

Practice location:
  • Phone: 586-238-4570
  • Fax:
Mailing address:
  • Phone: 586-322-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302040772
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: