DR. TRACEY B WILSON (NPI# 1205149358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205149358 |
| Entity Type | Individual |
| Full Name | DR. TRACEY B WILSON |
| Credential | PHARM.D, RPH. |
| Practice Address |
675 Woodbury Glassboro Rd Sewell NJ 08080-3733 |
| Practice Telephone | 8564152381 |
| Practice Fax Number | 8564152391 |
| Mailing Telephone | 8564152381 |
| Mailing Fax Number | 8564152391 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | A1-0003691 | DE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS27099 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 28RI03124900 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671359 | Tracey Wilson | Nursing Home Administrator | 639 S Gregory St, San Diego, CA 92113-2617 | 2017-11-02 |
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1750999728 | Tracey Wilson | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-07-16 |
| 1013576669 | Tracey Wilson | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-06-07 |
| 1932693728 | Tracey Kersten Wilson | Nurse Anesthetist, Certified Registered | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-06-15 |
| 1487828885 | Tracey Wilson | Nurse Practitioner | 29 S Greene St, Baltimore, MD 21201-1504 | 2008-04-16 |
| 1902856735 | Tracey S Wilson | Urology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-05-11 |
| Street Address |
675 WOODBURY GLASSBORO RD |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356599351 | New Jersey Cvs Pharmacy LLC | Pharmacy | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2008-09-03 |
| 1265823777 | Victoria Pallacovitch | Pharmacy Technician | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2015-02-05 |
| 1891185385 | Cynthia Hawk | Pharmacy Technician | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2015-02-04 |
| 1972993590 | Corinne Kogut | Pharmacy Technician | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2015-02-03 |
| 1720478530 | Justin Stefanowicz | Pharmacy Technician | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2015-02-01 |
| 1609136134 | Nicole Koerner | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2012-05-17 |
| 1144533951 | Billie-jo Michelle Bowers | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2010-07-21 |
| 1285953778 | Josephine Anne Dicicco | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2010-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| 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 |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1982151429 | Jill Anastasio | Pharmacist | 8 Foal Trail, Sewell, NJ 08080 | 2016-09-01 |
| 1063800746 | Ileana Somers | Pharmacist | 15 Wiltshire Dr, Sewell, NJ 08080-2669 | 2015-01-02 |
| 1659715290 | Frederick Charles Bonaccorsi | Pharmacist | 33 Hollybrook Dr, Sewell, NJ 08080-1549 | 2013-04-25 |
| 1639450257 | Nicole Haslett | Pharmacist | 22 Trapper Rd, Sewell, NJ 08080-3314 | 2011-09-09 |
| 1467767434 | Peter Nicholas Curcio | Pharmacist | 118 Pristine Pl, Sewell, NJ 08080-2180 | 2010-08-13 |
| 1558673749 | Geraldine Ann Spillman | Pharmacist | 490 Hurffville Crosskeys Rd, Sewell, NJ 08080-2342 | 2010-07-06 |
| 1952527632 | Janice E Walker | Pharmacist | 500 Woodbury Glassboro Rd, Sewell, NJ 08080-4574 | 2007-04-18 |
| 1740715879 | Desiree Massari | Pharmacist | 415 Egg Harbor Rd, Sewell, NJ 08080-9211 | 2017-04-26 |
| 1275089450 | Andy Dang | Pharmacist | 490 Hurffville Crosskeys Rd, Sewell, NJ 08080-2342 | 2016-08-29 |
| Find all providers in SEWELL | ||||
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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.