Active NPI
Tracy Marie Kirkpatrick, PHARM.D.
- Pharmacist
- Chicopee, MA
National Provider Identifier
1972741734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 43161
- Practice address
- 1616 Memorial Dr
Chicopee, MA 01020-3933 - Phone
- (401) 765-1500
- Fax
- (401) 216-3596
- NPI assigned
- Jan 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 25994 | MA | |
| Pharmacist | 183500000X | PS 43161 | FL | Primary |
Addresses
Primary practice location
1616 Memorial Dr
Chicopee, MA 01020-3933
Mailing address
5079 Dulce CT
Palm Beach Gardens, FL 33418-8974
Phone (508) 736-2960
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 |
|---|---|---|---|
| PS 43161 | FL | MD | Pharmacist |
| PH 25994 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1972741734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5079 DULCE CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188974",
"telephone_number": "508-736-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 MEMORIAL DR",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010203933",
"telephone_number": "401-765-1500",
"fax_number": "401-216-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "TRACY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-31",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH 25994",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 43161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.