TRACY J HOUSEHOLDER (NPI# 1861600942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861600942 |
| Entity Type | Individual |
| Full Name | TRACY J HOUSEHOLDER |
| Credential | RPH |
| Practice Address |
12902 Usf Magnolia Dr Tampa FL 33612-9416 |
| Mailing Address |
2916 W Sitios St Tampa FL 33629-6027 |
| Practice Telephone | 8139728485 |
| Practice Fax Number | 8139793994 |
| Mailing Telephone | 8132500537 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
PS25227 | FL | Pharmacy Service Providers |
| Street Address |
12902 USF MAGNOLIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1134735285 | Edith Abraham | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-23 |
| 1134735442 | Lindsay Garcia | Dietitian, Registered | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-22 |
| 1972117026 | Charsetta Denise Campbell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-06 |
| 1083228480 | Mary Thisbe Quilab | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-09-02 |
| 1336758788 | Gabriella Anne Acosta | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-30 |
| 1861010670 | Sidney Marie Resmondo | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-07-08 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| 1891319075 | Melanie Marie Fyfe | Clinical Nurse Specialist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| 1780208876 | Jacqueline Nicole Arrison | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669692885 | Andre P Galitzine | Pharmacist | H Lee Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33612-9497 | 2007-04-27 |
| 1245853571 | Todd Knepper | Pharmacist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-05-21 |
| 1316569791 | Christine Marie Walko | Pharmacist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-05-08 |
| 1306038112 | Sheetal Desai | Pharmacist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2007-08-15 |
| 1679782957 | Tyra Gatewood | Pharmacist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2007-05-22 |
| 1447472089 | Daniel John Melzer | Pharmacist | 12902 Magnolia Drive, Tampa, FL 33612-9497 | 2007-05-03 |
| 1114149085 | Michael David Newton | Pharmacist | 12902 Magnolia Drive, Tampa, FL 33612 | 2007-05-02 |
| 1841418258 | Jennifer Lynn Reynolds | Pharmacist | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2007-04-23 |
| 1568688786 | Karen M Fancher | Pharmacist | 12902 Magnolia Drive, Moffitt Cancer Center, Pharmacy Dept, Tampa, FL 33612 | 2007-04-17 |
| 1538384805 | Rod Everett Quilitz | Pharmacist | 12902 Usf Magnolia Dr, Mcc-pharm, Tampa, FL 33612-9416 | 2007-04-13 |
| Find all providers in TAMPA | ||||
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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.