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TRACY NICOLE DAISE PHARM.D.
NPI 1205386141
Pharmacist in Orange Park, FL

Active since October 04, 2016
3910 BUCKTHORNE DR UNIT E, ORANGE PARK, FL 32065(904) 236-9866 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Nicole Daise Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY NICOLE DAISE PHARM.D. (NPI 1205386141) is an individual pharmacist in Orange Park, Florida, licensed in Georgia (RPH029076) and active in the NPI registry since October 2016. She maintains a secondary practice location in Waycross.

NPPES Registry Identity

NPI1205386141
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACY NICOLE DAISECredential: PHARM.D.
Location Address3910 BUCKTHORNE DR UNIT EOrange Park, FL 32065-5643
Mailing Address3910 Buckthorne Dr Unit EOrange Park, FL 32065-5643 · (904) 236-9866
Phone(904) 236-9866
Sole ProprietorYes
Enumeration DateOctober 4, 2016
Last NPPES UpdateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1205386141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in GA · RPH029076✔ Licensed in FL · PS37842
Definition
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.
3910 BUCKTHORNE DR UNIT E, Orange Park, FL 32065
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Secondary Practice Location 1

Location 11303 Tebeau StWaycross, GA 31501-5318 · Phone (912) 548-0511 · Fax (912) 548-0516

Other Identifiers 2

OtherRPH029076GA · Ga Board Of Pharmacy
OtherPS37842FL · Fl Board Of Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Daise's NPI number?

The NPI number for Tracy Daise is 1205386141. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Tracy Daise located?

Tracy Daise practices at 3910 Buckthorne Dr Unit E, Orange Park, FL 32065. The listed phone number is (904) 236-9866.

What is Tracy Daise's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tracy Daise was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.