DR. NANCY MOE TRACY (NPI# 1700072451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700072451 |
| Entity Type | Individual |
| Full Name | DR. NANCY MOE TRACY |
| Credential | PHARM.D. |
| Practice Address |
15245 Bluebird St Nw Andover MN 55304-3538 |
| Practice Telephone | 7634341901 |
| Mailing Telephone | 7634341901 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118869 | MN | Pharmacy Service Providers |
| Street Address |
15245 BLUEBIRD ST NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720553 | Scott M Benson II | Pharmacist | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2005-12-09 |
| 1750941324 | Kari Standfuss | Nurse Practitioner | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2019-06-17 |
| 1003368929 | Divina Fama Bikeri | Nurse Practitioner | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2016-10-26 |
| 1336540848 | Raechel Grace Baker | Physician Assistant | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2014-09-16 |
| 1053729558 | Kamrie Ann Parrott | Nurse Practitioner | 15245 Bluebird St Nw, Andover, MN 55304 | 2014-07-28 |
| 1427367093 | Zacharia G Ogwang | Nurse Practitioner | 15245 Bluebird St Nw, Riverway Urgent Care - Andover, Andover, MN 55304-3554 | 2010-09-30 |
| 1427375849 | Patricia Herbert | Family Medicine | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2010-04-25 |
| 1376775437 | Lisa Ann Bishop | Pediatrics | 15245 Bluebird St Nw, Andover, MN 55304 | 2009-08-21 |
| 1659522332 | Annette Marie Schmidt | Pharmacist | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2008-10-01 |
| 1831366079 | Claire A Michael Saad | Family Medicine | 15245 Bluebird St Nw, Riverway Clinic-andover, Andover, MN 55304-3554 | 2008-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
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| 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 |
|---|---|---|---|---|
| 1871922088 | Pharmacon Drug P.a. Dba Andover Drug | Pharmacist | 307 W Hwy 54 Bldg 200, Andover, KS 67002-7848 | 2013-11-07 |
| 1619236882 | Fiona S Richardson | Pharmacist | 33 Linwood St, Andover, MA 01810-2747 | 2012-05-09 |
| 1679790133 | James A Vieira | Pharmacist | 2 Fun Flight Cir, Andover, MA 01810-1132 | 2007-04-19 |
| 1396720553 | Scott M Benson II | Pharmacist | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2005-12-09 |
| 1437757085 | Teri Ann Wiege | Pharmacist | 1851 Bunker Lake Blvd Nw, Andover, MN 55304-4010 | 2020-10-15 |
| 1447858915 | Zack D Gill | Pharmacist | 1851 Bunker Lake Blvd Nw, Andover, MN 55304-4010 | 2020-10-15 |
| 1336751353 | Brandon Rooney | Pharmacist | 440 N Andover Rd, Andover, KS 67002-9508 | 2020-08-20 |
| 1508486234 | Eva Jeptoo Serem | Pharmacist | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2020-04-22 |
| 1447888029 | Emily Vukovic | Pharmacist | 270 E Main St, Andover, OH 44003 | 2020-03-30 |
| 1841826914 | Heather Teresiak | Pharmacist | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2020-03-20 |
| Find all providers in ANDOVER | ||||
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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.