Tracey V. Goytia, PHARMD, RD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-287599 Issued in IL

Practice address

1555 Lee St
Des Plaines, IL 60018-1518

Phone

(847) 299-4488

NPI assigned

Apr 9, 2007

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tracey Arthur Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1053434340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 NORMAN CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162443",
            "telephone_number": "847-734-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181518",
            "telephone_number": "847-299-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYTIA",
        "first_name": "TRACEY",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "PHARMD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000923",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-287599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "ARTHUR",
            "prefix": "MS.",
            "credential": "PHARMD, RD,CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vaishali V Gor, LMT
• Jamie Cara Gorden, DMD
• Katie Marie Gorham, PHD
• Sarah Gouwens
• Sarmila Govindan, MD
• Goza Physical Therapy PLLC
• Graceland Prairie Dental
• David B Granato, MD
• Michael J Grear, M.D.
• Greater Chicago Center for Advanced Surgery LLC

• Pharmacist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.