Tracy Krueger, PHARM D
Individual provider Active NPI Pharmacist · Velva, ND
NPI 1821636093 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1821636093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH5420 (ND)
- Practice address
- 16 Main St N
Velva, ND 58790-7303 - Phone
- (701) 338-2911
- NPI assigned
- Dec 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5420 | ND | Yes |
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
Other providers in Velva, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.