Tracey M. Nicks, PHARMD

Pharmacist · Roscoe, IL

Individual Active NPI

NPI number 1992248652

Practice location

5065 Hononegah Rd
Roscoe, IL 61073-8682
Phone
(815) 623-5079

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NPI record

NPI
1992248652
Entity type
Individual (Type 1)
Enumeration date
November 29, 2016
Last updated
November 29, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051300101 IL

About Dr. Nicks

Tracey M. Nicks, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 5065 Hononegah Rd, Roscoe, IL 61073-8682. The NPI number 1992248652 was assigned on November 29, 2016 and the record was last updated on November 29, 2016.

Dr. Nicks lists a license in the registry: #051300101 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracey M. Nicks, PHARMD?

The NPI number is 1992248652.

What is the phone number of Dr. Nicks?

The phone number listed for the practice location is (815) 623-5079.

Where is Dr. Nicks located?

5065 Hononegah Rd, Roscoe, IL 61073-8682.

What is the taxonomy code for Dr. Nicks?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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