Tracey Lanesey

Primary specialty

PharmacistTaxonomy code 183500000X

License

054504-1 Issued in NY

Practice address

43 Round Lake Rd
Ballston Lake, NY 12019-1147

Phone

(518) 899-2748

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)
• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Ballston Lake, NY
  • NPI 1194099457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1790074599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "207-396-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191147",
            "telephone_number": "518-899-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27-41 Gansevoort Road",
            "address_purpose": "LOCATION",
            "city": "South Glens Falls",
            "state": "NY",
            "postal_code": "12803",
            "country_code": "US",
            "telephone_number": "518-798-2847",
            "fax_number": "518-798-2913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANESEY",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054504",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Jane Koeferl, PT
• Eva Anna Kool, LCSW-R
• Kylie Draper Kroes, PA-C
• Lakeview Early Childhood Associates, Inc.
• Rebecca Lamanna, PNP
• Shannon Marie Leahy
• Terri Anne Lefever, PA-C
• Vera A Legnard
• Lincare Inc
• Susan J Little, RPN

• Pharmacist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.