Active NPI
Nicole Salata, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1326328030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294518
- Practice address
- 3311 N Halsted St
Chicago, IL 60657-2412 - Phone
- (773) 435-9583
- NPI assigned
- Aug 25, 2011
- Last updated
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20069-40 | WI | |
| Pharmacist | 183500000X | 051.294518 | IL | Primary |
Addresses
Primary practice location
3311 N Halsted St
Chicago, IL 60657-2412
Mailing address
PO Box 7530
Libertyville, IL 60048-7530
Phone (847) 650-4540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051294518 | Other | IL | REGISTERED PHARMACIST LICENSE |
| 20069 | Other | WI | REGISTERED PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.294518 | IL | MD | Pharmacist |
| 20069-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1326328030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7530",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600487530",
"telephone_number": "847-650-4540",
"fax_number": "847-546-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572412",
"telephone_number": "773-435-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALATA",
"first_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20069-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LICENSE",
"identifier": "051294518",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LICENSE",
"identifier": "20069",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.