Active NPI
Tracey B Tucker, RPH
- Pharmacist
- Gulf Shores, AL
National Provider Identifier
1780938175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15279
- Practice address
- 3820 Gulf Shores Pkwy
Gulf Shores, AL 36542-2819 - Phone
- (251) 967-7001
- NPI assigned
- Nov 6, 2012
- 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 | 15279 | AL | Primary |
Addresses
Primary practice location
3820 Gulf Shores Pkwy
Gulf Shores, AL 36542-2819
Mailing address
925 Beach Club TRL
Doral 810
Gulf Shores, AL 36542-8142
Phone (251) 223-3165
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 |
|---|---|---|---|
| 15279 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1780938175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BEACH CLUB TRL",
"address_2": "DORAL 810",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365428142",
"telephone_number": "251-223-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 GULF SHORES PKWY",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365422819",
"telephone_number": "251-967-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "TRACEY",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.