Active NPI
Diane Kay Gorter, PHARMD
- Pharmacist
- Tinley Park, IL
National Provider Identifier
1427339605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.292671
- Practice address
- 16675 Oak Park Ave
Tinley Park, IL 60477-1754 - Phone
- (708) 429-0880
- NPI assigned
- Sep 1, 2011
- Last updated
- Oct 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.292671 | IL | Primary |
Addresses
Primary practice location
16675 Oak Park Ave
Tinley Park, IL 60477-1754
Mailing address
15514 Rob Roy Dr
Oak Forest, IL 60452-2736
Phone (708) 945-2972
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 |
|---|---|---|---|
| 051.292671 | IL | 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": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1427339605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15514 ROB ROY DR",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604522736",
"telephone_number": "708-945-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16675 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771754",
"telephone_number": "708-429-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORTER",
"first_name": "DIANE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.292671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.