Tracy Borkenhagen
Individual provider Active NPI Pharmacist · Whitehall, PA
NPI 1124628805 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1124628805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP044360L (PA)
- Practice address
- 2601 Macarthur Rd
Whitehall, PA 18052-3818 - Phone
- (610) 266-9375
- Fax
- (610) 266-9423
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044360L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044360L | PA | Yes |
Addresses
Primary practice location
2601 Macarthur Rd
Whitehall, PA 18052-3818
Mailing address
2723 Halleck Dr
Whitehall, PA 18052-3832
Phone (610) 533-6477
Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.