Active NPI
Gary Tracy, PHARMACIST
- Pharmacist
- Ephrata, WA
National Provider Identifier
1982006490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00020067
- Practice address
- 1399 Nat Washington Way
Ephrata, WA 98823-2629 - Phone
- (509) 754-8847
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00020067 | WA | Primary |
Addresses
Primary practice location
1399 Nat Washington Way
Ephrata, WA 98823-2629
Mailing address
1801 Briarwood PL
East Wenatchee, WA 98802-8304
Phone (509) 670-8140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00020067 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1982006490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BRIARWOOD PL",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988028304",
"telephone_number": "509-670-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 NAT WASHINGTON WAY",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988232629",
"telephone_number": "509-754-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "GARY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00020067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.