GOMAA LLC (NPI# 1205282266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205282266 |
| Entity Type | Organization |
| Organization Name | GOMAA LLC |
| Other Organization Name | MEDLIFE RX |
| Practice Address |
2191 South Blvd Ste 1b Auburn Hills MI 48326 |
| Mailing Address |
2191 South Blvd Ste 1b Auburn Hills MI 48326-3481 |
| Practice Telephone | 2487917566 |
| Practice Fax Number | 2487917567 |
| Mailing Telephone | 2487917566 |
| Mailing Fax Number | 2487917567 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | DR. MOHAMED GOMAA (OWNER) |
| Authorized Official Telephone | 2019520660 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010999 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160129 | 01 | |
| MI | 1205282266 | 05 |
| Other Name | Type Code |
|---|---|
| Medlife Rx | Doing Business As Name - Organization |
| Street Address |
2191 SOUTH BLVD STE 1B |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663055 | Hussein Elsaghir | Pharmacist | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326-3481 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| 1952620403 | Susan Anderson Styf | Social Worker | 2387 E. Walton Blvd., Auburn Hills, MI 48326 | 2010-05-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639576135 | Shome Pllc | Pharmacy | 3089 E Walton Blvd, Auburn Hills, MI 48326-2370 | 2014-11-26 |
| 1316103468 | Henry Ford Health System | Pharmacy | 800 Chrysler Dr, Ste W2001, Auburn Hills, MI 48326-2757 | 2008-07-29 |
| 1669582284 | Costco Wholesale Corporation | Pharmacy | 400 Brown Rd, Auburn Hills, MI 48326 | 2006-08-30 |
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|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | AUBURN HILLS |
| Zip Code | 48326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.