Active NPI
Kristen Gorski, PHARM D
- Pharmacist
- Grass Valley, CA
National Provider Identifier
1962646737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16985
- Practice address
- 640 E Main St Ste 13
Grass Valley, CA 95945-5854 - Phone
- (530) 274-0100
- Fax
- (702) 384-3796
- NPI assigned
- Apr 23, 2009
- 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 | 67057 | CA | |
| Pharmacist | 183500000X | 16985 | NV | Primary |
Addresses
Primary practice location
640 E Main St Ste 13
Grass Valley, CA 95945-5854
Mailing address
12188 Colfax Hwy
Grass Valley, CA 95945-8807
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 |
|---|---|---|---|
| 67057 | CA | MD | Pharmacist |
| 16985 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1962646737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12188 COLFAX HWY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959458807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E MAIN ST STE 13",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455854",
"telephone_number": "530-274-0100",
"fax_number": "702-384-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORSKI",
"first_name": "KRISTEN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67057",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.