Eric S Trachtenberg, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452779 Issued in PA

Practice address

259 Market St
Philadelphia, PA 19106-4502

Phone

(215) 625-3740

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania CVS Pharmacy LLC

  dba CVS Pharmacy # 10526

  • Pharmacy
  • Philadelphia, PA
  • NPI 1114393063
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1023611894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064502",
            "telephone_number": "215-625-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064502",
            "telephone_number": "215-625-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452779",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234146",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03941600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edouard J. Trabulsi, M.D.
• Karen May Trabulsi, M.D.
• Tracemark Pharmacy
• Tracey Jones, M.D., P.C. (PsychPhilly)
• Dennis Allen Trach, D.C.
• Jerry Milton Trachtenberg, DO
• Natalie Jane Trachtman, MD
• Joseph I. Tracy, PHD
• Marypat B Tracy, LCSW
• Meghan Tracy

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.