Active NPI
Patrick Tracy, PHARMD
- Pharmacist
- Carlsbad, CA
National Provider Identifier
1477149888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83001
- Practice address
- 2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768 - Phone
- (619) 555-1111
- NPI assigned
- Dec 19, 2020
- Last updated
- Sep 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83001 | CA | Primary |
Addresses
Primary practice location
2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768
Mailing address
2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83001 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1608336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1477149888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 CAMPBELL PL STE 150",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920091768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 CAMPBELL PL STE 150",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920091768",
"telephone_number": "619-555-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "PATRICK",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-19",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.