TRACIE BOUDREAU
NPI 1750629994
Pharmacist in Saint Johns, FL

Active since January 23, 2013
450 STATE ROAD 13 SUITE 109, SAINT JOHNS, FL 32259(904) 230-3207 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracie Boudreau NPPES

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

TRACIE BOUDREAU (NPI 1750629994) is an individual pharmacist in Saint Johns, Florida, licensed in Florida (PS38130) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1750629994
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACIE BOUDREAU
Location Address450 STATE ROAD 13 SUITE 109Saint Johns, FL 32259
Mailing Address450 State Road 13 Ste 109Saint Johns, FL 32259-3861 · (904) 230-3207
Sole ProprietorNo
Enumeration DateJanuary 23, 2013
NPI 1750629994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS38130
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.
450 STATE ROAD 13 SUITE 109, Saint Johns, FL 32259

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 Tracie Boudreau's NPI number?

The NPI number for Tracie Boudreau is 1750629994. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Tracie Boudreau located?

Tracie Boudreau practices at 450 State Road 13 Suite 109, Saint Johns, FL 32259. The listed phone number is (904) 230-3207.

What is Tracie Boudreau'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 Tracie Boudreau was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.