Active NPI
Tracy Taylor
- Pharmacy Technician
- Island Pond, VT
National Provider Identifier
1831563121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 121-0000446
- Practice address
- 12 Railroad St
Island Pond, VT 05846-0026 - Phone
- (802) 723-1031
- NPI assigned
- Nov 24, 2015
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 121-0000446 | VT | Primary |
Addresses
Primary practice location
12 Railroad St
Island Pond, VT 05846-0026
Mailing address
PO Box 26
Island Pond, VT 05846-0026
Phone (802) 723-1031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121-0000446 | VT | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | 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.
-
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1831563121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "ISLAND POND",
"state": "VT",
"postal_code": "058460026",
"telephone_number": "802-723-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 RAILROAD ST",
"city": "ISLAND POND",
"state": "VT",
"postal_code": "058460026",
"telephone_number": "802-723-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VT",
"license": "121-0000446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Island Pond, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.