Provider Demographics
NPI:1740173368
Name:GAKPARA, MICHEL KOMLA
Entity type:Individual
Prefix:
First Name:MICHEL
Middle Name:KOMLA
Last Name:GAKPARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 SHEPHERD ST NW # 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5913
Mailing Address - Country:US
Mailing Address - Phone:202-763-2958
Mailing Address - Fax:
Practice Address - Street 1:6514 GEORGIA AVE NW
Practice Address - Street 2:ADDRESS LINE 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-829-5234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH200004990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist