Active NPI
Tracie Samantha Stafford, RPH
- Pharmacist
- Easton, MD
National Provider Identifier
1649872276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17413
- Practice address
- 8223 Elliott Rd
Easton, MD 21601-2956 - Phone
- (410) 819-3215
- Fax
- (844) 411-6301
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 17413 | MD | Primary |
Addresses
Primary practice location
8223 Elliott Rd
Easton, MD 21601-2956
Mailing address
8223 Elliott Rd
Easton, MD 21601-2956
Phone (410) 819-3215
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 |
|---|---|---|---|
| 17413 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | 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": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1649872276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8223 ELLIOTT RD",
"city": "EASTON",
"state": "MD",
"postal_code": "216012956",
"telephone_number": "410-819-3215",
"fax_number": "844-411-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8223 ELLIOTT RD",
"city": "EASTON",
"state": "MD",
"postal_code": "216012956",
"telephone_number": "410-819-3215",
"fax_number": "844-411-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "TRACIE",
"middle_name": "SAMANTHA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.