Tracy Street, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR5122 Issued in ME

Practice address

31 Main St
Westbrook, ME 04092-4737

Phone

(207) 857-9298

Fax

(207) 857-9304

NPI assigned

Oct 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Shaws Supermarkets Inc

  • Community/Retail Pharmacy
  • Ludlow, VT
  • NPI 1255182622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350086400000",
    "number": "1972855005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924737",
            "telephone_number": "207-857-9298",
            "fax_number": "207-857-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924737",
            "telephone_number": "207-857-9298",
            "fax_number": "207-857-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-13",
        "last_updated": "2012-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linford J Stillson, D.O.
• Lois L Stock, LCSW
• Ira W. Stockwell, D.O.
• Richard Sydney Stockwell, DO
• Doreen Lee Stone, LMSW-CC
• Daniel Longley Stromgren, LMSW-CC
• Robert A Sturges, MD
• Susan Sullivan, CCS2861, LC3877,
• Elizabeth Kasny Sundborg, FNP
• Alia Frederick Sunderraj, OTR/L

• Pharmacist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2012; 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.