Tracy S Hepburn, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHTC010502 Issued in GA

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(912) 767-2672

NPI assigned

Sep 25, 2014

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

Other identifiers 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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1245632850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SHOOTINGSTAR ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319076397",
            "telephone_number": "786-859-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-767-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPBURN",
        "first_name": "TRACY",
        "middle_name": "S",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC010502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia D Henley, R.N.
• Patrick T Hennessey, MD
• Luke Kenton Henry, PA-C
• Mia Deann Henry, LCSW
• Shaina Henry, LCSW
• Doris Annemarie Herbig, OTR/L
• Jose A Hernandez, M.D.
• Lauren Herzog
• Linda Heywood, LCSW, BCD
• Karizma Hicks

• Pharmacy Technician in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Pharmacy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.