Tracy Alcorn, CPHT
Individual provider Active NPI Pharmacy Technician · Republic, MO
NPI 1629705272 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1629705272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 2013017536 (MO)
- Practice address
- 1173 E Hines St
Republic, MO 65738-1277 - Phone
- (417) 735-0055
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013017536 | MO | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2013017536 | MO | Yes |
Addresses
Primary practice location
1173 E Hines St
Republic, MO 65738-1277
Mailing address
1173 E Hines St
Republic, MO 65738-1277
Phone (417) 735-0055
Other providers in Republic, MO
- Ads Republic LP
- Advocates for a Healthy Community, Inc
- Advocates for a Healthy Community, Inc
- Advocates for a Healthy Community, Inc
- Yvonne Marie Agius
- Elise Arens
- Kelli Arens
- Jonathan K Armstrong
- Back in Balance
- Shauna Renae Badami
All providers in Republic, MO · Pharmacy Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.