Individual provider Active NPI

Tracie Sannicandro Osgood, PHARMD

  • Pharmacotherapy Pharmacist
  • Charleston, SC
National Provider Identifier
1912091802
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
009947 Issued in SC
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

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
08503CTMDGeriatric Pharmacist
8503CTMDPharmacotherapy Pharmacist
RP-043684-RPAMDPharmacotherapy Pharmacist
009947SCMDPharmacotherapy Pharmacist
0202204687VAMDPharmacotherapy Pharmacist
23431MAMDPhysical 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.

Verify at the official NPI Registry.