Active NPI
Tracy Humphreys, RPH
- Pharmacist
- Lake Stevens, WA
National Provider Identifier
1669876264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00014867
- Practice address
- 8915 Market PL
Suite 100
Lake Stevens, WA 98258-4916 - Phone
- (425) 377-7110
- Fax
- (425) 377-7128
- NPI assigned
- Oct 10, 2014
- 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 | PH00014867 | WA | Primary |
Addresses
Primary practice location
8915 Market PL
Suite 100
Lake Stevens, WA 98258-4916
Mailing address
8915 Market PL
Suite 100
Lake Stevens, WA 98258-4916
Phone (425) 377-7110
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 |
|---|---|---|---|
| PH00014867 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1669876264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 MARKET PL",
"address_2": "SUITE 100",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982584916",
"telephone_number": "425-377-7110",
"fax_number": "425-377-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 MARKET PL",
"address_2": "SUITE 100",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982584916",
"telephone_number": "425-377-7110",
"fax_number": "425-377-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREYS",
"first_name": "TRACY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00014867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.