Active NPI
Angelica Marie Tracy, RPH
- Pharmacist
- Saint Joseph, MI
National Provider Identifier
1720966831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302417849
- Practice address
- 1260 Hilltop Rd
Saint Joseph, MI 49085-2839 - Phone
- (269) 983-0315
- Fax
- (269) 983-2389
- NPI assigned
- Aug 26, 2025
- 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 | 5302417849 | MI | Primary |
Addresses
Primary practice location
1260 Hilltop Rd
Saint Joseph, MI 49085-2839
Mailing address
1260 Hilltop Rd
Saint Joseph, MI 49085-2839
Phone (269) 983-0315
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 |
|---|---|---|---|
| 5302417849 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1720966831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 HILLTOP RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852839",
"telephone_number": "269-983-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 HILLTOP RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852839",
"telephone_number": "269-983-0315",
"fax_number": "269-983-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "ANGELICA",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302417849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.