Provider Demographics
NPI:1760092530
Name:GAJERA, DEVKI (PHARMD)
Entity type:Individual
Prefix:
First Name:DEVKI
Middle Name:
Last Name:GAJERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 BRIGHAM RD APT 1E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9023
Mailing Address - Country:US
Mailing Address - Phone:757-217-8943
Mailing Address - Fax:
Practice Address - Street 1:1313 CAROLINA ST STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6002
Practice Address - Country:US
Practice Address - Phone:336-235-4372
Practice Address - Fax:336-235-4381
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218856183500000X
NC30936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist