GRANT J GORNICK


Address: 4385 S Archer Ave, Chicago, IL 60632-2810
Phone: 7732476804

GRANT J GORNICK (NPI# 1992316079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992316079
Entity Type Individual
Full Name GRANT J GORNICK
Practice Address 4385 S Archer Ave
Chicago
IL 60632-2810
Mailing Address 7825 W 100th Pl
Palos Hills
IL 60465-1512
Practice Telephone 7732476804
Mailing Telephone 7086124407
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051302305 IL Pharmacy Service Providers

Office Location

Street Address 4385 S ARCHER AVE
City CHICAGO
State IL
Zip Code 60632-2810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538174727 Walgreen Co Durable Medical Equipment & Medical Supplies 4385 S Archer Ave, Chicago, IL 60632-2810 2006-07-29
1437675923 Rohit Patel Pharmacist 4385 S Archer Ave, Chicago, IL 60632-2810 2017-08-17
1568747152 Linda Zhu Pharmacist 4385 S Archer Ave, Chicago, IL 60632-2810 2011-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104474790 Amanda Rose Dirnberger Nurse Practitioner 3229-43 W. 47th Pl., Chicago, IL 60632 2019-08-28
1982121042 Brown Archer Dental PC Dentist 4893 S Archer Ave, Chicago, IL 60632 2017-08-29
1538577085 Metrosmiles - Archer Heights Dental Dentist 5141 S Cicero Ave, Chicago, IL 60632 2014-07-29
1174955173 Thresholds Community/Behavioral Health 718-24 West 47th St, Chicago, IL 60632 2013-08-01
1659612570 Sapex Home Healthcare, Inc. In Home Supportive Care 4107 West 47th Street, Chicago, IL 60632 2013-03-04
1912275462 Dawn Marie Mackessy Pharmacist 5435 S. Kedzie Ave, Chicago, IL 60632 2011-12-12
1033494752 Molly Elizabeth Mcdermott Pharmacist District 222-walgreens, Chicago, IL 60632 2011-10-13
1780908434 Chicago Electrical Trauma Research Institute Specialist/Technologist, Other 4047 W. 40th Street, Chicago, IL 60632 2010-03-24
1265765218 4365 Archer Mri, LLC Clinic/Center 4365 South Archer Avenue, Chicago, IL 60632 2009-09-09
1295968121 Smile Lee Faces Dentist 4197 S Archer Ave, Chicago, IL 60632 2009-08-26
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760083414 Cedomir Micic Pharmacist 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 2020-11-07
1003416439 Denise Venketramen Pharmacist 939 W Madison St Apt 310, Chicago, IL 60607-2656 2020-10-26
1427657063 Sundis I Islefo Pharmacist 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 2020-10-24
1497353361 Eleanor English Pharmacist 910 W Huron St Unit 1209, Chicago, IL 60642-5968 2020-10-13
1942808001 Iris Esmeralda Gutierrez Pharmacist 3343 S Leavitt St, Chicago, IL 60608-6018 2020-10-12
1417564790 Tara Airola Pharmacist 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 2020-09-30
1174137129 Tangtang Zhao Pharmacist 9148 S Commercial Ave, Chicago, IL 60617-4307 2020-09-06
1710591334 Karolina Maculewicz Pharmacist 371 W Ontario St, Chicago, IL 60654-5716 2020-09-01
1700490448 Anita Saini Pharmacist 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 2020-09-01
1245844026 Rachel Klepacz Pharmacist 101 N Clinton St, Chicago, IL 60661-1505 2020-08-31
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Competitor

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City CHICAGO
Zip Code 60632

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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