Active NPIIndividual providerSole proprietor

Mrs. Tracy A Kellem, RPH

Pharmacist in Blackwood, New Jersey

NPI Number1194943787
Practice location
701 College Dr, Blackwood, NJ 08012-3239
Fax
—
Last updated
May 24, 2026

Tracy A. Kellem is a Pharmacist based in Blackwood, NJ. Tracy A. Kellem practices in Blackwood, NJ and has the professional credentials of RPH. The NPI Number for Tracy A. Kellem is 1194943787 and holds a License No. 28RI02623400 (NJ). The current practice location address for Tracy A. Kellem is 701 College Dr, Blackwood, NJ 08012-3239 and can be reached out via phone at 856-401-1191.

Provider Profile Details

NPI Number
1194943787
Provider Name
Tracy A. Kellem
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
701 College Dr, Blackwood, NJ 08012-3239
Phone Number
856-401-1191
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2007
Last Update Date
May 24, 2026
Certification Date
May 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
701 College Dr
Blackwood, NJ 08012-3239
Zip
08012-3239
Phone Number
856-401-1191
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
701 College Dr
Blackwood, NJ 08012-3239
City
Blackwood
State
NJ
Zip
08012-3239
Phone Number
856-401-1191

License Information

License Number
28RI02623400
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tracy A Kellem, RPH?

The NPI number of Mrs. Tracy A Kellem, RPH is 1194943787. It was assigned on April 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tracy A Kellem, RPH?

Mrs. Tracy A Kellem, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI02623400.

Where does Mrs. Tracy A Kellem, RPH practice?

The practice location is 701 College Dr, Blackwood, NJ 08012-3239. The office can be reached at 856-401-1191 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194943787 directly on the NPPES registry website.

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