Active NPI
Tracy Renee King, PHARMD
- Pharmacist
- Mount Vernon, KY
National Provider Identifier
1972622066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012823
- Practice address
- 110 Newcomb Avenue
Mt. Vernon, KY 40456 - Phone
- (606) 256-4613
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012823 | KY | Primary |
Addresses
Primary practice location
110 Newcomb Avenue
Mt. Vernon, KY 40456
Mailing address
PO Box 1860
Mount Vernon, KY 40456-1860
Phone (606) 256-4613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012823 | Other | KY | KY PHARMACY LICENSE |
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 |
|---|---|---|---|
| 012823 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockcastle County Hospital, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rockcastle Professional Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, KY
- NPI 1588783625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972622066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1860",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404561860",
"telephone_number": "606-256-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NEWCOMB AVENUE",
"city": "MT. VERNON",
"state": "KY",
"postal_code": "40456",
"telephone_number": "606-256-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TRACY",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY PHARMACY LICENSE",
"identifier": "012823",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.