MATTHEW TRACY (NPI# 1659724474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659724474 |
| Entity Type | Individual |
| Full Name | MATTHEW TRACY |
| Practice Address |
2795 Pilot Knob Rd Eagan MN 55121-1176 |
| Mailing Address |
3819 Jamestown Curv Woodbury MN 55129-4931 |
| Practice Telephone | 8445323456 |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2016-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265622187 | Matthew Ryan Tracy | Internal Medicine | 500 17th Ave, Seattle, WA 98122-5711 | 2007-07-26 |
| Street Address |
2795 PILOT KNOB RD |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442638 | Sandra Mary Oehlke | Nurse Practitioner | 2795 Pilot Knob Rd, Suite 300, Eagan, MN 55121-1176 | 2006-07-20 |
| 1982235180 | Ciera Shanaye Keyes | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2020-01-28 |
| 1922647833 | Emanga Ekinde | Pharmacist | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-26 |
| 1124666961 | Amber Lynn Kaye | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-11 |
| 1134778442 | Marissa Ann Finucane | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-09-09 |
| 1821645425 | Rhiannon Nicole Tofaha | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-08-20 |
| 1417513680 | Catherine Nicole Jenkins | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-14 |
| 1629634936 | Michele Christen Mask | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-13 |
| 1457817207 | Christine Garcia | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-02-18 |
| 1972067866 | Mindi Steffens | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1982235180 | Ciera Shanaye Keyes | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2020-01-28 |
| 1124666961 | Amber Lynn Kaye | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-11 |
| 1851941561 | Jessica Hudson | Pharmacy Technician | 2795 Pilot Knob Rd Ste 300, Eagan, MN 55121-1930 | 2019-09-14 |
| 1134778442 | Marissa Ann Finucane | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-09-09 |
| 1821645425 | Rhiannon Nicole Tofaha | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-08-20 |
| 1417513680 | Catherine Nicole Jenkins | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-14 |
| 1629634936 | Michele Christen Mask | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-13 |
| 1457817207 | Christine Garcia | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-02-18 |
| 1972067866 | Mindi Steffens | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-01-25 |
| Find all providers in EAGAN | ||||
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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.