Active NPI
Tracy Lee Trest, PHARM D
- Pharmacist
- Taylor, TX
National Provider Identifier
1598084345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37290
- Practice address
- 100 N W Carlos G. Parker Blvd
Ste 101
Taylor, TX 76574-7060 - Phone
- (512) 352-2024
- Fax
- (512) 352-2052
- NPI assigned
- May 19, 2010
- Last updated
- May 19, 2010
- 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 | 37290 | TX | Primary |
Addresses
Primary practice location
100 N W Carlos G. Parker Blvd
Ste 101
Taylor, TX 76574-7060
Mailing address
100 N W Carlos G. Parker Blvd
Ste 101
Taylor, TX 76574-7060
Phone (512) 352-2024
Other names 1
- Tracy Lee Heimer
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 |
|---|---|---|---|
| 37290 | TX | MD | Dentist |
Practice roles
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": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1598084345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N W CARLOS G. PARKER BLVD",
"address_2": "STE 101",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765747060",
"telephone_number": "512-352-2024",
"fax_number": "512-352-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N W CARLOS G. PARKER BLVD",
"address_2": "STE 101",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765747060",
"telephone_number": "512-352-2024",
"fax_number": "512-352-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREST",
"first_name": "TRACY",
"middle_name": "LEE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "HEIMER",
"middle_name": "LEE",
"credential": "PHARM D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.