Active NPI
Tracy Zoblisein, PHARMD
- Oncology Pharmacist
- Marietta, GA
National Provider Identifier
1720535529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 019582
- Practice address
- 790 Church St NE
Suite 335
Marietta, GA 30060-7282 - Phone
- (770) 590-8311
- Fax
- (770) 590-8313
- NPI assigned
- Sep 9, 2016
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 019582 | GA | Primary |
Addresses
Primary practice location
790 Church St NE
Suite 335
Marietta, GA 30060-7282
Mailing address
790 Church St NE
Suite 335
Marietta, GA 30060-7282
Phone (770) 590-8311
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 |
|---|---|---|---|
| 019582 | GA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1720535529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE",
"address_2": "SUITE 335",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607282",
"telephone_number": "770-590-8311",
"fax_number": "770-590-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE",
"address_2": "SUITE 335",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607282",
"telephone_number": "770-590-8311",
"fax_number": "770-590-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOBLISEIN",
"first_name": "TRACY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "GA",
"license": "019582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.