Provider Demographics
NPI:1073048930
Name:GUMBS, PAMELA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:GUMBS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2017
Mailing Address - Country:US
Mailing Address - Phone:510-508-4942
Mailing Address - Fax:510-843-0308
Practice Address - Street 1:2929 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2017
Practice Address - Country:US
Practice Address - Phone:510-508-4942
Practice Address - Fax:510-843-0308
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2021-08-19
Deactivation Date:2021-07-26
Deactivation Code:
Reactivation Date:2021-08-19
Provider Licenses
StateLicense IDTaxonomies
CA294651835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric