Tracey A Licciardi, RPH
Pharmacist in Port Monmouth, New Jersey
1740464031- Practice location
- 375 Route 36, Port Monmouth, NJ 07758-1359
- Phone
- 732-787-1041
- Fax
- 732-787-5632
- Last updated
- December 21, 2007
Tracey A Licciardi is a Pharmacist based in Port Monmouth, NJ. Tracey A Licciardi practices in Port Monmouth, NJ and has the professional credentials of RPH. The NPI Number for Tracey A Licciardi is 1740464031 and holds a License No. 28RI02766900 (NJ). The current practice location address for Tracey A Licciardi is 375 Route 36, Port Monmouth, NJ 07758-1359 and can be reached out via phone at 732-787-1041 and via fax at 732-787-5632.
Provider Profile Details
- NPI Number
- 1740464031
- Provider Name
- Tracey A Licciardi
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 375 Route 36, Port Monmouth, NJ 07758-1359
- Phone Number
- 732-787-1041
- Fax Number
- 732-787-5632
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 21, 2007
- Last Update Date
- December 21, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Route 36
Port Monmouth, NJ 07758-1359 - City
- Port Monmouth
- State
- New Jersey
- Zip
- 07758-1359
- Phone Number
- 732-787-1041
- Fax Number
- 732-787-5632
Provider Business Mailing Address Details
- Address
- 7 Bingham Dr
Marlboro, NJ 07746-2229 - City
- Marlboro
- State
- NJ
- Zip
- 07746-2229
- Phone Number
- 732-617-7195
- Fax Number
- 732-617-7195
License Information
- License Number
- 28RI02766900
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Port Monmouth, NJ
View all Pharmacists in Port Monmouth →Frequently Asked Questions
What is the NPI number of Tracey A Licciardi, RPH?
The NPI number of Tracey A Licciardi, RPH is 1740464031. It was assigned on December 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Tracey A Licciardi, RPH?
Tracey A Licciardi, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI02766900.
Where does Tracey A Licciardi, RPH practice?
The practice location is 375 Route 36, Port Monmouth, NJ 07758-1359. The office can be reached at 732-787-1041 (phone) or 732-787-5632 (fax).
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 1740464031 directly on the NPPES registry website.