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TRACEY A LICCIARDI RPH
NPI 1740464031
Pharmacist in Port Monmouth, NJ

Active since December 21, 2007
375 ROUTE 36, PORT MONMOUTH, NJ 07758(732) 787-1041(732) 787-5632 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey A Licciardi Rph NPPES

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

TRACEY A LICCIARDI RPH (NPI 1740464031) is an individual pharmacist in Port Monmouth, New Jersey, licensed in New Jersey (28RI02766900) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1740464031
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACEY A LICCIARDICredential: RPH
Location Address375 ROUTE 36Port Monmouth, NJ 07758-1359
Mailing Address7 Bingham DrMarlboro, NJ 07746-2229 · (732) 617-7195 · Fax (732) 617-7195
Phone(732) 787-1041
Fax(732) 787-5632
Sole ProprietorNo
Enumeration DateDecember 21, 2007
✔ NPI 1740464031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NJ · 28RI02766900
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.
375 ROUTE 36, Port Monmouth, NJ 07758
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PARK
Pharmacist
375 ROUTE 36
PORT MONMOUTH, NJ 07758
Monmouth County (732) 832-7041

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 Tracey Licciardi's NPI number?

The NPI number for Tracey Licciardi is 1740464031. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Tracey Licciardi located?

Tracey Licciardi practices at 375 Route 36, Port Monmouth, NJ 07758. The listed phone number is (732) 787-1041.

What is Tracey Licciardi'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 Tracey Licciardi was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.