Active NPI
Terance Paul Bracey, RPH
- Pharmacist
- Milton, FL
National Provider Identifier
1326187451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PU5359
- Practice address
- 6002 Berryhill Rd
Milton, FL 32570-5062 - Phone
- (850) 626-5177
- Fax
- (850) 626-5167
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS33834 | FL | |
| Pharmacist | 183500000X | PU5359 | FL | Primary |
| Pharmacist | 183500000X | 8083 | TN |
Addresses
Primary practice location
6002 Berryhill Rd
Milton, FL 32570-5062
Mailing address
4848 Timber Ridge Dr
Pace, FL 32571-8002
Phone (850) 995-0722
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 |
|---|---|---|---|
| PS33834 | FL | MD | Pharmacist |
| PU5359 | FL | MD | Pharmacist |
| 8083 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326187451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 TIMBER RIDGE DR",
"city": "PACE",
"state": "FL",
"postal_code": "325718002",
"telephone_number": "850-995-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325705062",
"telephone_number": "850-626-5177",
"fax_number": "850-626-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACEY",
"first_name": "TERANCE",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33834",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU5359",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
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.