Beth Tracy, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

123115 Issued in MN

Practice address

600 Village Center Dr
North Oaks, MN 55127-3005

Phone

(651) 251-1014

Fax

(651) 251-1020

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #12403

  • Pharmacy
  • North Oaks, MN
  • NPI 1699925701
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1487360285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VILLAGE CENTER DR",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273005",
            "telephone_number": "651-251-1014",
            "fax_number": "651-251-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VILLAGE CENTER DR",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551273005",
            "telephone_number": "651-251-1014",
            "fax_number": "651-251-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "BETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Salek-Raham, MD DDS
• Josephine Ann Sauro, PA-C
• Serene Oaks Dental
• Patti Teachout, OTR
• The Gorman Center for Fine Den
• Aaron Michael Treece, OD
• Timothy Jon Vaagenes Sr., D.C.
• Molly Vaishnav
• Alexandra Van
• Vop North Oaks, LLC (North Oaks Memory Care)

• Pharmacist in North Oaks, MN
• Providers in North Oaks, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.