TRACIE CHAN (NPI# 1992065205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992065205 |
| Entity Type | Individual |
| Full Name | TRACIE CHAN |
| Credential | RPH |
| Practice Address |
1015 W Baltimore Pike West Grove PA 19390-9459 |
| Mailing Address |
1015 W Baltimore Pike Jennersville Regional Hospital Pharmacy West Grove PA 19390-9459 |
| Practice Telephone | 6108691340 |
| Mailing Telephone | 6108691340 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP445413 | PA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 19922 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164778916 | Tracie Chan | Pharmacist | 1982 Eight Mile Rd, Cincinnati, OH 45255-2609 | 2012-07-31 |
| Street Address |
1015 W BALTIMORE PIKE |
| City | WEST GROVE |
| State | PA |
| Zip Code | 19390-9459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240256 | Jennersville Radiology, P.c | Radiology | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2005-07-21 |
| 1093355992 | West Grove Clinic Company LLC | Internal Medicine | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2020-01-09 |
| 1669937496 | John Oliver Elkhoury | Emergency Medicine | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2019-02-06 |
| 1326567801 | Jennersville Hospital, LLC | Clinic/Center | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-15 |
| 1457879538 | Jennersville Hospital, LLC | Medicare Defined Swing Bed Unit | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-08 |
| 1760906549 | Jennersville Hospital, LLC | General Acute Care Hospital | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-08-02 |
| 1407218241 | Marie-claudia Durkin | Internal Medicine | 1015 W Baltimore Pike, West Grove, PA 19390 | 2016-03-22 |
| 1700243292 | West Grove Physician Services, PC | Physician Assistant | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2016-01-28 |
| 1528248655 | Mid Atlantic Surgical LLC | Surgery | 1015 W Baltimore Pike, Mob Suite 201, West Grove, PA 19390-9459 | 2007-11-06 |
| 1447456637 | West Grove Hospital Company, LLC | General Acute Care Hospital | 1015 W Baltimore Pike, Suite 1319, West Grove, PA 19390-9459 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
| 1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
| 1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
| 1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
| 1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
| 1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
| 1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
| Find all providers in zip 19390 | ||||
| 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 |
|---|---|---|---|---|
| 1700833779 | Alfonse Gagliardi | Pharmacist | 1011 W Baltimore Pike, Suite 109, West Grove, PA 19390-9446 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST GROVE |
| Zip Code | 19390 |
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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.