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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Taylor, TX
- NPI 1710096151
-
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1770393217
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.