TRACY MARIE ECKENRODE (NPI# 1629558242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629558242 |
| Entity Type | Individual |
| Full Name | TRACY MARIE ECKENRODE |
| Credential | PHARMD |
| Practice Address |
1201 Blair St Hollidaysburg PA 16648-2445 |
| Mailing Address |
Po Box 158 Loretto PA 15940-0158 |
| Practice Telephone | 8146960289 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 452487 | PA | Pharmacy Service Providers |
| Street Address |
1201 BLAIR ST |
| City | HOLLIDAYSBURG |
| State | PA |
| Zip Code | 16648-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402404 | Kopp Drug Inc | Pharmacy | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2005-07-27 |
| 1013547967 | Sunday Lee Jackson | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2020-01-20 |
| 1780821108 | Ross William Dixon II | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648 | 2009-01-08 |
| 1568618486 | Jill Marie Watters | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2008-08-12 |
| 1962658088 | Nicole Margaret Dixon | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021846 | Jennifer Walter | Social Worker | 411 N. Montgomery Street, Hollidaysburg, PA 16648 | 2019-03-06 |
| 1699242594 | Pasquale Vincent Longhi | Pharmacist | 510 Blair Street, Hollidaysburg, PA 16648 | 2018-10-29 |
| 1750872941 | Healing Space LLC | Counselor | Healing Space LLC, 206 B Allegheny Street, Hollidaysburg, PA 16648 | 2018-05-23 |
| 1790133098 | Corey Patrick Gildea | Physical Therapist | 225 Allegheny St Ste 3, Hollidaysburg, PA 16648 | 2016-05-26 |
| 1891160818 | Carly Raymond | Speech-Language Pathologist | 3328 Sylvan Heights Drive, Hollidaysburg, PA 16648 | 2015-12-02 |
| 1821499187 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1201 Blair Street, Hollidaysburg, PA 16648 | 2014-09-05 |
| 1669872198 | Central Pennsylvania Digital Learning Foundation | Local Education Agency (LEA) | 721 North Juniata Street, Suite 3, Hollidaysburg, PA 16648 | 2014-09-03 |
| 1912279514 | Kathleen J Lower | Licensed Practical Nurse | 118 Mountain View Dr., Hollidaysburg, PA 16648 | 2012-01-30 |
| 1588932743 | Annette Patterson | Nurse Anesthetist, Certified Registered | 901 Logan Blvd, Hollidaysburg, PA 16648 | 2011-12-02 |
| 1053692400 | Eugene Polmueller | Psychiatry & Neurology | 110 Middle Ridge Road, Hollidaysburg, PA 16648 | 2011-08-30 |
| Find all providers in zip 16648 | ||||
| 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 |
|---|---|---|---|---|
| 1699242594 | Pasquale Vincent Longhi | Pharmacist | 510 Blair Street, Hollidaysburg, PA 16648 | 2018-10-29 |
| 1225523152 | Nicole Hasson | Pharmacist | 512 Clearview Dr, Hollidaysburg, PA 16648-9279 | 2018-06-23 |
| 1780024323 | Joseph Anthony Deleo | Pharmacist | 60 Woodlawn Ter, Hollidaysburg, PA 16648-2998 | 2013-06-27 |
| 1013547967 | Sunday Lee Jackson | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2020-01-20 |
| 1780821108 | Ross William Dixon II | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648 | 2009-01-08 |
| 1568618486 | Jill Marie Watters | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2008-08-12 |
| 1962658088 | Nicole Margaret Dixon | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | HOLLIDAYSBURG |
| Zip Code | 16648 |
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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.