Tracey Jane Spangenberg, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

45260 Issued in CA

Practice address

9300 Campus Point
Dept Pharmacy
La Jolla, CA 92037-7727

Phone

(858) 657-5006

NPI assigned

Nov 14, 2022

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 names 1

• Tracey Jane Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1366150880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CAMPUS POINT",
            "address_2": "DEPT PHARMACY",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377727",
            "telephone_number": "858-657-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 CAMPUS POINT",
            "address_2": "DEPT PHARMACY",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377727",
            "telephone_number": "858-657-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGENBERG",
        "first_name": "TRACEY",
        "middle_name": "JANE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "TAYLOR",
            "middle_name": "JANE",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karolina Soriano, LCSW
• John Sebastian Sottosanti, DDS
• Southern California Neurology and Psychiatry
• Adriana Yvette Southworth, DNP
• Anna Ruth Spain
• Margaret Sparacin
• Steven Ray Sparks, M.D.
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• Doran Bott Spencer, MD
• Weston T Spencer, DDS

• Pharmacist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.