Tracey Nunez, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13218 Issued in OK

Practice address

4000 SE Green Country Rd
Bartlesville, OK 74006-5000

Phone

(918) 333-6910

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Interoperability endpoints

• Direct secure messaging: t0n00ec.s00041.us@walmart.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-0041

  • Community/Retail Pharmacy
  • Bartlesville, OK
  • NPI 1497772503
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1144823303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 N 66TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SE GREEN COUNTRY RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065000",
            "telephone_number": "918-333-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "T0n00ec.s00041.us@walmart.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 SE Green Country Rd",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740065000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northeastern Oklahoma Advanced Neurotherapeutics LLC
• Northern Oklahoma Dermatology
• NR Bartlesville LLC (Nerve Renewal Bartlesville)
• Ntcob LLC
• Nujoint LLC (Nujoint)
• Samantha K Nunn
• Nursefinders, LLC
• NW Bartlesville LLC (Express Rx of Bartlesville)
• Randy Ray O'Connell, DC
• Krystle Renee O'Dowd, APRN-CNP

• Pharmacist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.