Tracy N Garwood

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-289613 Issued in IL

Practice address

1530 W Springfield Rd
Taylorville, IL 62568-2756

Phone

(217) 287-1121

NPI assigned

Oct 26, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1144820606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 PHILLIP CIR",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625358991",
            "telephone_number": "217-725-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682756",
            "telephone_number": "217-287-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARWOOD",
        "first_name": "TRACY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-289613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tngarwo.s00343.us@wal-mart.com",
            "affiliation": "Y",
            "affiliationName": "Walmart Inc.",
            "address_1": "1530 W Springfield Rd",
            "city": "Taylorville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625682756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.