Active NPI
Gina Smolik, PHARMD
- Pharmacist
- Pleasant Prairie, WI
National Provider Identifier
1881975837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17850-40
- Practice address
- 7707 94TH Ave
Pleasant Prairie, WI 53158-1955 - Phone
- (262) 597-1037
- NPI assigned
- Sep 5, 2011
- Last updated
- Nov 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.295305 | IL | |
| Pharmacist | 183500000X | 17850-40 | WI | Primary |
Addresses
Primary practice location
7707 94TH Ave
Pleasant Prairie, WI 53158-1955
Mailing address
7707 94TH Ave
Pleasant Prairie, WI 53158-1955
Phone (262) 597-1037
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 |
|---|---|---|---|
| 051.295305 | IL | MD | Pharmacist |
| 17850-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1881975837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 94TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581955",
"telephone_number": "262-597-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 94TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581955",
"telephone_number": "262-597-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLIK",
"first_name": "GINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-05",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295305",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17850-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
- Scott C Simmons, MD
- Kanha Sinha
- Andrew David Sirois, PA-C
- Sleep Health Wisconsin LLC
- Sarah M Slivon-Vanchena, APNP
- Lauren Michelle Snower, M.D.
- Farrah Sonnenberg
- Courtney Sperry, PA-C
- SSC Pleasant Prairie Operating Company LLC (Grande Prairie Health and Rehabilitation Center)
- Jacqueline A Stark, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.