Individual provider Active NPI

Gordana Josifovski

  • Pharmacy Technician
  • Valparaiso, IN
National Provider Identifier
1841884376
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
67005952A Issued in IN
Practice address
52 Lincolnway
Valparaiso, IN 46383-5522
Phone
(219) 462-4146
Fax
(219) 646-2578
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 183700000X 67005952A IN Primary

Addresses

Primary practice location

52 Lincolnway
Valparaiso, IN 46383-5522

Mailing address

932 Monterrey CT Apt a
Crown Point, IN 46307-3657
Phone (219) 779-6327

Other identifiers 1

IdentifierTypeStateIssuer
67005952AOtherINTHIRD PARTY

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL gordijatgildrugs@gmail.com Direct
Other URL gildrugs.com Direct

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

State licenses

LicenseStateTypeSpecialty
67005952AINMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Gil Drug Co., Inc. PastSince Mar 4, 2021 Accepting new patients
Gil Drug Co Inc PastSince Mar 4, 2021 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1841884376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 MONTERREY CT APT A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073657",
            "telephone_number": "219-779-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835522",
            "telephone_number": "219-462-4146",
            "fax_number": "219-646-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIFOVSKI",
        "first_name": "GORDANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "IN",
            "license": "67005952A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIRD PARTY",
            "identifier": "67005952A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gordijatgildrugs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "52 Lincolnway",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463835522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gildrugs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "52 Lincolnway",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463835522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.