Active NPI
Tracy Krueger, PHARM D
- Pharmacist
- Velva, ND
National Provider Identifier
1821636093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5420
- Practice address
- 16 Main St N
Velva, ND 58790-7303 - Phone
- (701) 338-2911
- NPI assigned
- Dec 18, 2019
- Last updated
- Dec 18, 2019
- Sex
- Male
- 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 | RPH5420 | ND | Primary |
Addresses
Primary practice location
16 Main St N
Velva, ND 58790-7303
Mailing address
PO Box 54
Velva, ND 58790-0054
Phone (701) 720-6187
Other practice location 1
2111 Landmark Cir NW Ste C
Minot, ND 58703-1967
Phone (701) 721-9046
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 |
|---|---|---|---|
| RPH5420 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velva Drug Company | Current | Accepting new patients | |
| Velva Drug Company | Current | Accepting new patients | |
| North Hill Pharmacy LLC | Past | Accepting new patients | |
| North Hill Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Velva, ND
- NPI 1376646315
-
- Long Term Care Pharmacy
- Velva, ND
- NPI 1952081572
-
- Community/Retail Pharmacy
- Minot, ND
- NPI 1720527120
-
- Long Term Care Pharmacy
- Minot, ND
- NPI 1770221913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1821636093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54",
"city": "VELVA",
"state": "ND",
"postal_code": "587900054",
"telephone_number": "701-720-6187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MAIN ST N",
"city": "VELVA",
"state": "ND",
"postal_code": "587907303",
"telephone_number": "701-338-2911"
}
],
"practiceLocations": [
{
"address_1": "2111 Landmark Cir NW Ste C",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587031967",
"country_code": "US",
"telephone_number": "701-721-9046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "TRACY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Velva, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.