NPIMap

Individual provider Active NPI

Tracy Chesteen Wix, RPH

  • Pharmacist
  • Cherokee, AL
National Provider Identifier
1992855803
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10848 Issued in AL
Practice address
8260 Highway 72
Cherokee, AL 35616-4402
Phone
(256) 359-6242
Fax
(256) 359-4652
NPI assigned
Jan 11, 2007
Reactivated
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10848 AL Primary

Addresses

Primary practice location

8260 Highway 72
Cherokee, AL 35616-4402

Mailing address

8260 Hwy 72W
Cherokee, AL 35616
Phone (256) 359-6242

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Drugs & Variety,Inc. Past Accepting new patients
Peoples Home Care LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1992855803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 HWY 72W",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "35616",
            "telephone_number": "256-359-6242",
            "fax_number": "256-359-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 HIGHWAY 72",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "356164402",
            "telephone_number": "256-359-6242",
            "fax_number": "256-359-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIX",
        "first_name": "TRACY",
        "middle_name": "CHESTEEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-31",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.