TRACY BORKENHAGEN (NPI# 1124628805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124628805 |
| Entity Type | Individual |
| Full Name | TRACY BORKENHAGEN |
| Practice Address |
2601 Macarthur Rd Whitehall PA 18052-3818 |
| Mailing Address |
2723 Halleck Dr Whitehall PA 18052-3832 |
| Practice Telephone | 6102669375 |
| Practice Fax Number | 6102669423 |
| Mailing Telephone | 6105336477 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP044360L | PA | Pharmacy Service Providers |
| Street Address |
2601 MACARTHUR RD |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853383 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2601 Macarthur Rd, Whitehall, PA 18052-3818 | 2006-06-02 |
| 1295336352 | Jacqueline Hollan | Pharmacist | 2601 Macarthur Rd, Whitehall, PA 18052-3818 | 2020-11-05 |
| 1912000803 | Tracey Anne George | Optometrist | 2601 Macarthur Rd, Whitehall, PA 18052-3818 | 2006-09-06 |
| 1669499729 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2601 Macarthur Rd, Whitehall, PA 18052-3818 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1255824314 | Kenneth C Fulton-resig | Counselor | 4772 Main Street, Whitehall, PA 18052 | 2018-06-12 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| Find all providers in zip 18052 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215428131 | Ashita Dhaduk | Pharmacist | 3320 S 2nd Ave Apt 31, Whitehall, PA 18052-3038 | 2018-05-25 |
| 1922397389 | Reetha Oommen | Pharmacist | 2108 Macarthur Rd, Whitehall, PA 18052-4520 | 2011-04-06 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1780916015 | Stephanie Marie Cusick | Pharmacist | 2520 Macarthur Rd, Whitehall, PA 18052-3815 | 2010-02-11 |
| 1033353784 | Dave B Grubb | Pharmacist | 3263 Colby Rd, Whitehall, MI 49461-9637 | 2009-04-25 |
| 1457509366 | K Najeeb Ullah | Pharmacist | 1982 Linden Ln, Whitehall, PA 18052-3740 | 2008-09-04 |
| 1194865154 | Don S. Hafeman | Pharmacist | 1801 Lincoln St, Whitehall, WI 54773-9508 | 2007-02-07 |
| 1619950920 | Glenn S. Weiss | Pharmacist | 1220 3rd St, Whitehall, PA 18052-4905 | 2005-11-22 |
| 1902407489 | Andrew James Myers | Pharmacist | 3657 E Main St, Whitehall, OH 43213-2924 | 2020-11-03 |
| 1639779093 | Charese Sferra | Pharmacist | 3657 E Main St, Whitehall, OH 43213-2924 | 2020-10-27 |
| Find all providers in WHITEHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.