Active NPI
Tracy Lee Brady, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1093548703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13120
- Practice address
- 14303 U St
Omaha, NE 68137-2666 - Phone
- (402) 895-0181
- NPI assigned
- Aug 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13120 | NE | Primary |
Addresses
Primary practice location
14303 U St
Omaha, NE 68137-2666
Mailing address
1755 Ridgewood Ave
Omaha, NE 68124-1320
Phone (402) 305-9822
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 |
|---|---|---|---|
| 13120 | NE | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Dreams Anesthesia | Current | Accepting new patients | |
| Nebraska CVS Pharmacy LLC | Past | Accepting new patients | |
| Nebraska CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Omaha, NE
- NPI 1801315197
-
- Pharmacy
- Omaha, NE
- NPI 1548562630
-
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1750599296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1093548703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 RIDGEWOOD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241320",
"telephone_number": "402-305-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14303 U ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372666",
"telephone_number": "402-895-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "TRACY",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.