DR. TRACEY M NICKS PHARMD
NPI 1992248652
Pharmacist in Roscoe, IL

Active since November 29, 2016
5065 HONONEGAH RD, ROSCOE, IL 61073(815) 623-5079 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tracey M Nicks Pharmd NPPES

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

DR. TRACEY M NICKS PHARMD (NPI 1992248652) is an individual pharmacist in Roscoe, Illinois, licensed in Illinois (051300101) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1992248652
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. TRACEY M NICKSCredential: PHARMD
Location Address5065 HONONEGAH RDRoscoe, IL 61073-8682
Mailing Address5065 Hononegah RdRoscoe, IL 61073-8682 · (815) 623-5079
Sole ProprietorNo
Enumeration DateNovember 29, 2016
NPI 1992248652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051300101
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.
5065 HONONEGAH RD, Roscoe, IL 61073

Other Providers at the Same Location NPPES 9

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

Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacy
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Pharmacist
5065 HONONEGAH RD
ROSCOE, IL 61073
Clinical Medical Laboratory
5065 HONONEGAH RD
ROSCOE, IL 61073

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 Nicks's NPI number?

The NPI number for Tracey Nicks is 1992248652. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Tracey Nicks located?

Tracey Nicks practices at 5065 Hononegah Rd, Roscoe, IL 61073. The listed phone number is (815) 623-5079.

What is Tracey Nicks'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 Nicks was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.