Active NPI
Tracy J Tennant, RP
- Pharmacist
- Norfolk, NE
National Provider Identifier
1255521910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10285
- Practice address
- 2700 W Norfolk Ave
Norfolk, NE 68701-4438 - Phone
- (402) 644-7523
- Fax
- (402) 644-7267
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10285 | NE | Primary |
Addresses
Primary practice location
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Mailing address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 644-7523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1255521910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014438",
"telephone_number": "402-644-7523",
"fax_number": "402-644-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014438",
"telephone_number": "402-644-7523",
"fax_number": "402-644-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNANT",
"first_name": "TRACY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.