Tracey B Wilson, PHARM.D, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03124900 Issued in NJ

Practice address

675 Woodbury Glassboro Rd
Sewell, NJ 08080-3733

Phone

(856) 415-2381

Fax

(856) 415-2391

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1205149358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803733",
            "telephone_number": "856-415-2381",
            "fax_number": "856-415-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803733",
            "telephone_number": "856-415-2381",
            "fax_number": "856-415-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRACEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03124900",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27099",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Chiropractic Centers PC
• Danielle Williams
• Ernest Williams, DC
• Cindy Wills, ATR-BC
• Robin R Wilson-Smith, D.O.
• Sharon A Winter-Scavicchio, CRNP
• Jonathan Winter, M.D.
• Natalie Wong, MD
• Michael Wood, MPT
• Woodbury TLC Transport, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.