Active NPI
Tracey Moats Collins, RPH
- Pharmacist
- Columbia, SC
National Provider Identifier
1578860615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8453
- Practice address
- 9001 Two Notch Rd
Columbia, SC 29223-5834 - Phone
- (803) 419-3664
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 25, 2011
- Sex
- Female
- 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 | 8453 | SC | Primary |
Addresses
Primary practice location
9001 Two Notch Rd
Columbia, SC 29223-5834
Mailing address
9001 Two Notch Rd
Columbia, SC 29223-5834
Phone (803) 419-3664
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 |
|---|---|---|---|
| 8453 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1578860615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 TWO NOTCH RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292235834",
"telephone_number": "803-419-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 TWO NOTCH RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292235834",
"telephone_number": "803-419-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TRACEY",
"middle_name": "MOATS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Robert Joseph Collins III, MD
- Ronald L Collins, MD
- Susan Collins, PSYD
- Tiffany Collins, LPC
- Toya Renee Collins, LPC-A
- Michelle Carolyn Collymore
- Ricardo Colon II, RN
- Colonial Family Practice & Ambulatory Care Center (Colonial Family Practice Columbia)
- Colonial Family Practice NE
- Colonial Family Practice, LLC (Colonial Family Practice Columbia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.