Active NPI
Tracie Sannicandro Osgood, PHARMD
- Pharmacotherapy Pharmacist
- Charleston, SC
National Provider Identifier
1912091802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 009947
- Practice address
- 25 Courtenay Dr
Second Floor Ashley River Tower Pharmacy
Charleston, SC 29425-8911 - Phone
- (843) 876-5588
- NPI assigned
- Oct 3, 2006
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 009947 | SC | |
| Geriatric Pharmacist | 1835G0303X | 23431 | MA | |
| Geriatric Pharmacist | 1835G0303X | 08503 | CT | |
| Geriatric Pharmacist | 1835G0303X | 0202204687 | VA | |
| Geriatric Pharmacist | 1835G0303X | RP-043684-R | PA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 009947 | SC | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 8503 | CT | |
| Pharmacotherapy Pharmacist | 1835P1200X | 0202204687 | VA | |
| Pharmacotherapy Pharmacist | 1835P1200X | RP-043684-R | PA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 23431 | MA |
Addresses
Primary practice location
25 Courtenay Dr
Second Floor Ashley River Tower Pharmacy
Charleston, SC 29425-8911
Mailing address
25 Courtenay Dr
Second Floor Ashley River Tower Pharmacy
Charleston, SC 29425-8911
Phone (843) 876-5588
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 |
|---|---|---|---|
| 08503 | CT | MD | Geriatric Pharmacist |
| 8503 | CT | MD | Pharmacotherapy Pharmacist |
| RP-043684-R | PA | MD | Pharmacotherapy Pharmacist |
| 009947 | SC | MD | Pharmacotherapy Pharmacist |
| 0202204687 | VA | MD | Pharmacotherapy Pharmacist |
| 23431 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1912091802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COURTENAY DR",
"address_2": "SECOND FLOOR ASHLEY RIVER TOWER PHARMACY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258911",
"telephone_number": "843-876-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COURTENAY DR",
"address_2": "SECOND FLOOR ASHLEY RIVER TOWER PHARMACY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258911",
"telephone_number": "843-876-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSGOOD",
"first_name": "TRACIE",
"middle_name": "SANNICANDRO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "SC",
"license": "009947",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MA",
"license": "23431",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CT",
"license": "08503",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202204687",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP-043684-R",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "009947",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CT",
"license": "8503",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202204687",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "RP-043684-R",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "23431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.