Active NPI
Kristen L Goliak, PHARM.D.
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1427100742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- Practice address
- 833 S Wood St RM 164
Chicago, IL 60612-7229 - Phone
- (312) 996-6300
- Fax
- (312) 996-0379
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | IL | Primary |
Addresses
Primary practice location
833 S Wood St RM 164
Chicago, IL 60612-7229
Mailing address
833 S Wood St RM 164
Chicago, IL 60612-7229
Phone (312) 996-6300
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 |
|---|---|---|---|
| 051286772 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427100742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 S WOOD ST RM 164",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127229",
"telephone_number": "312-996-6300",
"fax_number": "312-996-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S WOOD ST RM 164",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127229",
"telephone_number": "312-996-6300",
"fax_number": "312-996-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLIAK",
"first_name": "KRISTEN",
"middle_name": "L",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.