Adrian Kalata, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051304034 Issued in IL

Practice address

12659 S Ridgeland Ave
Palos Heights, IL 60463-1871

Phone

(708) 385-0218

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1841863354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WARNER AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393974",
            "telephone_number": "630-276-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12659 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631871",
            "telephone_number": "708-385-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATA",
        "first_name": "ADRIAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051304034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Denee Joy, P.A.-C.
• Emma Jubeh, RD
• Stephen J Jumic
• Katarzyna Kaczmarczyk, DPT
• Monica Kaczmarczyk
• Bobby L Kalladanthyil, MPT
• Michelle A Kallenborn, D.O.
• Dua Kanwal Iqbal Kalota
• Jordan L Kaplan, D.D.S.
• Georgios Karanastasis

• Community/Retail Pharmacy in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.