MRS. TRACEY LYNN BLUM (NPI# 1619578945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619578945 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY LYNN BLUM |
| Credential | RPH |
| Practice Address |
100 Worcester St North Grafton MA 01536-1024 |
| Practice Telephone | 5088392240 |
| Mailing Telephone | 5088392240 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23374 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| Street Address |
100 WORCESTER ST |
| City | NORTH GRAFTON |
| State | MA |
| Zip Code | 01536-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285609479 | Lester P Mietkiewicz | Internal Medicine | 100 Worcester St, Suite 60, North Grafton, MA 01536-1024 | 2006-02-21 |
| 1952840951 | Grafton Dental Care | Dentist | 100 Worcester St, Suite 50, North Grafton, MA 01536-1024 | 2017-02-23 |
| 1184093833 | Mary Philpot | Nurse Practitioner | 100 Worcester St, North Grafton, MA 01536-1024 | 2015-09-23 |
| 1104122506 | Ramya Korapati | Internal Medicine | 100 Worcester St, North Grafton, MA 01536-1024 | 2011-02-01 |
| 1063698322 | Ainun Haq | Internal Medicine | 100 Worcester St, Suite 60, North Grafton, MA 01536-1024 | 2008-01-17 |
| 1962502302 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 Worcester St, Country Plaza, North Grafton, MA 01536-1024 | 2006-09-25 |
| 1952407785 | Deborah S Homer | Nurse Practitioner | 100 Worcester St, North Grafton, MA 01536-1024 | 2006-09-16 |
| 1386610061 | Paul J Bradley | Internal Medicine | 100 Worcester St, Suite 60, North Grafton, MA 01536-1024 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1215395082 | Eric Levitre | Developmental Therapist | 70 Waterville Street, Grafton, MA 01536 | 2016-02-08 |
| 1528453925 | New England Psychological Assesment Center, Inc | Psychologist | 13 Centennial Drive, North Grafton, MA 01536 | 2015-04-02 |
| 1023112422 | William Albert Fazzino | Chiropractor | 202 Worcester St, Suite 10, North Grafton, MA 01536 | 2006-09-08 |
| 1477561710 | Mark Scott Polasky | Dentist | 200 Worcester St, North Grafton, MA 01536 | 2006-08-03 |
| 1811949886 | Anthony Robert Molinari | Optometrist | 1 Hollywood Drive, Grafton, MA 01536 | 2006-05-17 |
| 1831616846 | Alexandra Jo Warden-michl | Physical Therapist | 204 Worcester St, North Grafton, MA 01536 | 2017-08-30 |
| 1982063004 | Shayla Lorraine Johnson | Counselor | 13 Centennial Dr, North Grafton, MA 01536 | 2016-02-17 |
| 1790157311 | Jennifer Jefferson | Developmental Therapist | 31 Wesson Street, North Grafton, MA 01536-0000 | 2015-10-22 |
| 1952815813 | Simply Orthodontics Grafton Pllc | Dentist | 103 Worcester St Ste C, North Grafton, MA 01536-1019 | 2017-11-29 |
| Find all providers in zip 01536 | ||||
| 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 |
|---|---|---|---|---|
| 1447417761 | Sarah Ann Celestino | Pharmacist | 217 Worcester St, North Grafton, MA 01536-1255 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245934 | Stephen Choi | Pharmacist | 12 Blakely Rd, Medford, MA 02155-2409 | 2020-11-02 |
| 1871193565 | Jameson Groot | Pharmacist | 100 Valley Park Way, Whitinsville, MA 01588 | 2020-10-30 |
| 1902406952 | Alice Eliza Thomasson | Pharmacist | 46 Marcella Ave, Pittsfield, MA 01201-5611 | 2020-10-29 |
| 1437759883 | Shaun Michael Cabral | Pharmacist | 54 Cousineau Dr, Swansea, MA 02777-4136 | 2020-10-27 |
| 1316546484 | Walter J Ciampa Jr. | Pharmacist | 2 Friendship Ln, Lynnfield, MA 01940-1023 | 2020-10-20 |
| 1225637440 | Mina F Hanna | Pharmacist | 60 Blackstone St, Mendon, MA 01756-1305 | 2020-10-19 |
| 1194324327 | Karen Marie Hooley | Pharmacist | 57 Hilda St Apt 4, Quincy, MA 02169-1348 | 2020-10-19 |
| 1649878307 | Neha Ahmad | Pharmacist | 1163 Providence Rd, Whitinsville, MA 01588-2119 | 2020-10-14 |
| 1982211090 | Paul Vu | Pharmacist | 72 Winslow St, Everett, MA 02149-2112 | 2020-09-23 |
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH GRAFTON |
| Zip Code | 01536 |
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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.