Active NPI
Justine D. Janociak, PHARM.D.
- Pharmacist
- Chicago, IL
National Provider Identifier
1376679183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-288901
- Practice address
- 9831 S Western Ave
Room 396
Chicago, IL 60643-1791 - Phone
- (773) 881-5632
- Fax
- (773) 445-1285
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-288901 | IL | Primary |
Addresses
Primary practice location
9831 S Western Ave
Room 396
Chicago, IL 60643-1791
Mailing address
9831 S Western Ave
Room 396
Chicago, IL 60643-1791
Phone (773) 881-5632
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 |
|---|---|---|---|
| 051-288901 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1376679183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9831 S WESTERN AVE",
"address_2": "ROOM 396",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431791",
"telephone_number": "773-881-5632",
"fax_number": "773-445-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9831 S WESTERN AVE",
"address_2": "ROOM 396",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431791",
"telephone_number": "773-881-5632",
"fax_number": "773-445-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOCIAK",
"first_name": "JUSTINE",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-288901",
"primary": true
}
],
"identifiers": [],
"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 Dec 7, 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.