Tracy Martin Andrus, RPH
Individual provider Active NPI Pharmacist · Baytown, TX
NPI 1124873310 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1124873310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35864 (TX)
- Practice address
- 4401 Garth Rd
Baytown, TX 77521-2122 - Phone
- (281) 420-8600
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35864 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35864 | TX | Yes |
Addresses
Primary practice location
4401 Garth Rd
Baytown, TX 77521-2122
Mailing address
4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-8600
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. 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.