Active NPI
Tracey Streepy, RPH
- Pharmacist
- Dothan, AL
National Provider Identifier
1336422757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13844
- Practice address
- 4650 W Main St Ste 700
Dothan, AL 36305-1152 - Phone
- (334) 792-6824
- NPI assigned
- Sep 21, 2011
- Last updated
- Jan 18, 2013
- 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 | 13844 | AL | Primary |
Addresses
Primary practice location
4650 W Main St Ste 700
Dothan, AL 36305-1152
Mailing address
423 Drake Dr
Dothan, AL 36305-4241
Phone (334) 793-2414
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 |
|---|---|---|---|
| 13844 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1336422757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 DRAKE DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363054241",
"telephone_number": "334-793-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W MAIN ST STE 700",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051152",
"telephone_number": "334-792-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREEPY",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.