Active NPI
Trang Lee, PHARM.D
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1063016384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52733
- Practice address
- 1201 N Beach St
Fort Worth, TX 76111-6043 - Phone
- (817) 834-6369
- NPI assigned
- Nov 27, 2020
- 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 | 52733 | TX | Primary |
Addresses
Primary practice location
1201 N Beach St
Fort Worth, TX 76111-6043
Mailing address
2101 N Beach St
Haltom City, TX 76111-6862
Other names 1
- Tracie Lee
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1063016384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N BEACH ST",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761116862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761116043",
"telephone_number": "817-834-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TRANG",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACIE",
"last_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Worth, TX
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.