Tracy A. Kellem, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02623400 Issued in NJ

Practice address

701 College Dr
Blackwood, NJ 08012-3239

Phone

(856) 401-1191

NPI assigned

Apr 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1467561803
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1194943787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLLEGE DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123239",
            "telephone_number": "856-401-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COLLEGE DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123239",
            "telephone_number": "856-401-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEM",
        "first_name": "TRACY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02623400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY LIC",
            "identifier": "28RI02623400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youma Kabia-Williams, LCSW
• Jillian Kalitz, RD
• Kaplan & Tyson, LLC Dba Eye Associates
• Samantha Kauffman, OT
• Marian Hannah Kawei
• Kelsch Associates Inc. New Jersey
• Dana Carol Kemery, APN
• Kennedy & Karing Associates
• Kennedy Medical Group D/B/a Kennedy Health Alliance
• Kennedy Medical Group Practice P.C.

• Pharmacist in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.