TRACY M BERG (NPI# 1427031624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427031624 |
| Entity Type | Individual |
| Full Name | TRACY M BERG |
| Credential | R.PH. |
| Practice Address |
Mayo Clinic Pharmacy 200 First Street Sw Rochester MN 55905-0001 |
| Mailing Address |
7771 Cedar Crest Ln Nw Rochester MN 55901-8667 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072851039 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 116219-6 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068916 | Tracy Marvin Berg IIi | Massage Therapist | 2700 Dorr Ave Apt 526, Fairfax, VA 22031-4946 | 2020-09-21 |
| 1376637421 | Tracy A Berg | Surgery | 16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216-2830 | 2006-10-03 |
| 1134437023 | Tracy Berg | Physical Therapy Assistant | 250 G St, Blaine, WA 98230-4019 | 2010-09-14 |
| Street Address |
MAYO CLINIC PHARMACY 200 FIRST STREET SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558655373 | Bryan John Buechel | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2011-06-09 |
| 1851696975 | David C Gribble | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2011-01-20 |
| 1316257207 | Witra Khunmuang Chulindra | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2010-10-14 |
| 1508095787 | Craig Charles Hill | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2009-07-08 |
| 1942266903 | Susan Fauver Johnson | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2006-04-26 |
| 1447225651 | Carrie Ann Krieger | Pharmacist | Mayo Clinic Pharmacy, 200 First St Sw, Rochester, MN 55905-0001 | 2006-02-21 |
| 1063491330 | Lori Kay Morrissey | Pharmacist | Mayo Clinic Pharmacy, 200 First St Sw, Rochester, MN 55905-0001 | 2006-01-13 |
| 1881672723 | Jiji Kurien | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2006-01-01 |
| 1912984816 | Robert Edwin Gaffron | Pharmacist | Mayo Clinic Pharmacy, 200 First Street Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| 1508843665 | John Gile | Pharmacist | Mayo Clinic Pharmacy, 200 First Strret Sw, Rochester, MN 55905-0001 | 2005-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| 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 |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.