DR. TRACEY RICA HUMBERT (NPI# 1164034203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164034203 |
| Entity Type | Individual |
| Full Name | DR. TRACEY RICA HUMBERT |
| Credential | PHARMD |
| Practice Address |
999 Sebastian Blvd Sebastian FL 32958-4861 |
| Mailing Address |
288 Brandy Creek Cir Se Palm Bay FL 32909-2332 |
| Practice Telephone | 7723881096 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS57147 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588615314 | Tracey R Humbert | Internal Medicine | 1515 6th Ave S, Birmingham, AL 35233-1601 | 2006-05-15 |
| Street Address |
999 SEBASTIAN BLVD |
| City | SEBASTIAN |
| State | FL |
| Zip Code | 32958-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548275787 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2006-07-29 |
| 1942816830 | Anthony Fashona | Pharmacist | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2020-09-16 |
| 1205260205 | Elizabeth Beltran | Pharmacist | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2013-08-26 |
| 1598018871 | Colleen Whitney Zsiga | Pharmacist | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2012-10-23 |
| 1376813287 | Joseph Nevelus Jean | Pharmacist | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1578102257 | Jessica Patrice Squiabro Pierce | Nurse Practitioner | 7765 144th St #4, Sebastian, FL 32958 | 2019-12-30 |
| 1952951949 | Renee Brothers | Occupational Therapist | Pelican Landing 13085 U.S. 1, Sebastian, FL 32958 | 2019-09-12 |
| 1457909681 | Tania M Schmitfranz | Physical Therapist | 1155 35h Lane, Suite 100, Vero Beach, FL 32958 | 2019-08-30 |
| 1255803649 | Christine A Festa | Family Medicine | 14060 Us Highway 1, Sebastian, FL 32958 | 2018-12-22 |
| 1639662174 | Wei Yin Vuong | Dentist | 1451 Sebastian Blvd Ste 180, Sebastian, FL 32958 | 2018-06-10 |
| 1194229724 | Courtney Carroll Frazier | Nurse Practitioner | 1627 Us Highway 1 Ste 207, Sebastian, FL 32958 | 2018-03-20 |
| 1386168771 | Main Street Counseling | Social Worker | 1069- Main Street, Ste 216, Sebastian, FL 32958 | 2017-07-28 |
| 1538516844 | Lynn Borlas | Speech-Language Pathologist | 1140 7th Court, Vero Beach, FL 32958 | 2016-05-17 |
| Find all providers in zip 32958 | ||||
| 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 |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1194171975 | Serenity Brooke Ford | Pharmacist | 1451 Sebastian Blvd Ste 200, Sebastian, FL 32958-8200 | 2016-05-10 |
| 1386997237 | Christopher Jeramie Kantenga | Pharmacist | 995 Sebastian Blvd Ste B, Sebastian, FL 32958-4880 | 2012-10-16 |
| 1720363112 | Frank J Catala | Pharmacist | 13613 Us Hwy 1, Sebastian, FL 32958 | 2011-10-17 |
| 1750663449 | Lena Lukat | Pharmacist | 999 Fellsmere Rd, Sebastian, FL 32958-4861 | 2011-09-19 |
| 1720101413 | Charles Howard Lind | Pharmacist | 995 Fellsmere Rd., Unit B, Sebastian, FL 32958 | 2007-04-09 |
| 1427192293 | Jeffrey E Blossom | Pharmacist | 995 Sebastian Blvd, Winn Dixie Pharmacy, Sebastian, FL 32958-4880 | 2007-02-16 |
| 1942816830 | Anthony Fashona | Pharmacist | 999 Sebastian Blvd, Sebastian, FL 32958-4861 | 2020-09-16 |
| 1184236200 | Joshua B Sturtevant | Pharmacist | 9595 N Us Highway 1, Sebastian, FL 32958-6301 | 2020-08-19 |
| 1255942926 | Sundeap Rao | Pharmacist | 9595 N Us Highway 1, Sebastian, FL 32958-6301 | 2020-08-14 |
| Find all providers in SEBASTIAN | ||||
Please comment or provide details below to improve the information on DR. TRACEY RICA HUMBERT.
| 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.