TRACY PENROSE (NPI# 1972593804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972593804 |
| Entity Type | Individual |
| Full Name | TRACY PENROSE |
| Credential | RPH |
| Practice Address |
339 E Maple St Suite 100 North Canton OH 44720-2593 |
| Mailing Address |
653 Tamarac Trl Wadsworth OH 44281-2367 |
| Practice Telephone | 8008587393 |
| Enumeration Date | 2005-10-22 |
| Last Update Date | 2010-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03316158 | OH | Pharmacy Service Providers |
| Street Address |
339 E MAPLE ST SUITE 100 |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764978 | Holly M Kovacich | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2020-03-03 |
| 1154955599 | Monique S Leininger | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2020-02-25 |
| 1992339337 | Mitchell Lewis Leroy Markley | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2020-02-25 |
| 1912530155 | Katlyn Rene Hulit | Speech-Language Pathologist | 339 E Maple St, North Canton, OH 44720-2593 | 2020-02-17 |
| 1841821352 | Roser G Cunanan | Physical Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2020-02-03 |
| 1679104863 | Orisha A Mickel | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2020-01-28 |
| 1487292504 | Alyssa Marie Felleti | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2019-12-19 |
| 1679111959 | Chad Eric Meyers | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-12-17 |
| 1639716970 | Rhonda L Sarras | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2019-12-05 |
| 1952947764 | Danielle L Perry | Physical Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| 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 |
|---|---|---|---|---|
| 1730665647 | Timothy Kolopus | Pharmacist | 6438 Oakbridge Ave Nw, North Canton, OH 44720-7281 | 2018-07-13 |
| 1164842738 | William Gilbert | Pharmacist | 515 Frazer Dr Nw, North Canton, OH 44720-3343 | 2014-04-22 |
| 1023382884 | Michael Chung | Pharmacist | 1619 Mabry Mill Dr Sw, North Canton, OH 44709-1087 | 2012-02-26 |
| 1235411026 | Jessica Joyce Held | Pharmacist | 6421 Market Avenue North, North Canton, OH 44720 | 2011-09-16 |
| 1013207307 | Beth Heller | Pharmacist | 2574 Easton St, North Canton, OH 44720 | 2011-04-08 |
| 1114216629 | Gilbert Chaoui | Pharmacist | 3030 Whipple Ave Nw, North Canton, OH 44718 | 2011-04-05 |
| 1225348535 | Robert Francis Weekley | Pharmacist | 6383 Hollyridge St Nw, North Canton, OH 44720-9404 | 2010-10-20 |
| 1477788784 | Ryan Matthew Mendoza | Pharmacist | 7800 Cleveland Ave Nw, North Canton, OH 44720-5658 | 2009-05-17 |
| 1891823555 | Rebecca C Sommers | Pharmacist | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-03-02 |
| 1316038573 | Susan Mary Giangardella | Pharmacist | 2515 Carrington St Nw, North Canton, OH 44720-8156 | 2006-09-27 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
Please comment or provide details below to improve the information on TRACY PENROSE.
| 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.