Active NPI
Tracy J Lemoine, R.PH.
- Pharmacist
- Fairhope, AL
National Provider Identifier
1326147349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11764
- Practice address
- 187 Baldwin SQ
Fairhope, AL 36532-2046 - Phone
- (251) 990-5779
- Fax
- (251) 990-5717
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- 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 | 11764 | AL | Primary |
Addresses
Primary practice location
187 Baldwin SQ
Fairhope, AL 36532-2046
Mailing address
20040 Lea Brook PL
Fairhope, AL 36532-3637
Phone (251) 990-9004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11764 | Other | LA | PHARMACIST LICENSE NUMBER |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11764 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326147349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20040 LEA BROOK PL",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323637",
"telephone_number": "251-990-9004",
"fax_number": "251-621-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 BALDWIN SQ",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322046",
"telephone_number": "251-990-5779",
"fax_number": "251-990-5717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "TRACY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "11764",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.