Active NPI
Tracy Keller, PHARMD
- Pharmacist
- Beltsville, MD
National Provider Identifier
1023422847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17923
- Practice address
- 11729 Beltsville Dr
Beltsville, MD 20705-3147 - Phone
- (443) 239-9352
- Fax
- (401) 652-1180
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17923 | MD | Primary |
Addresses
Primary practice location
11729 Beltsville Dr
Beltsville, MD 20705-3147
Mailing address
11729 Beltsville Dr
Beltsville, MD 20705-3147
Phone (443) 239-9352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Other | MD | TAXONOMY |
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 |
|---|---|---|---|
| 17923 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1023422847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11729 BELTSVILLE DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053147",
"telephone_number": "443-239-9352",
"fax_number": "401-652-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11729 BELTSVILLE DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053147",
"telephone_number": "443-239-9352",
"fax_number": "401-652-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "TRACY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "183500000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.