IndividualActive
Tracey Licciardi, RPH
NPI 1740464031 · Pharmacist · Port Monmouth, NJ
Tracey Licciardi, RPH is a Pharmacist provider in Port Monmouth, NJ (NPI 1740464031).
Provider details
- NPI number
- 1740464031
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 28RI02766900 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 Route 36
Port Monmouth, NJ 07758-1359
Phone: (732) 787-1041
Fax: (732) 787-5632
Street-level locationGet directions
Mailing address
7 Bingham Dr
Marlboro, NJ 07746-2229
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2007-12-21
Frequently asked questions
- What is Tracey Licciardi's NPI number?
- Tracey Licciardi's National Provider Identifier (NPI) is 1740464031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Licciardi's specialty?
- Tracey Licciardi is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Tracey Licciardi located?
- Tracey Licciardi's practice location on file with NPPES is 375 Route 36, Port Monmouth, NJ 07758-1359.
- What is Tracey Licciardi's phone number?
- The practice phone number listed in the NPPES registry for Tracey Licciardi is (732) 787-1041.
- Is Tracey Licciardi's NPI active?
- Yes — Tracey Licciardi's NPI (1740464031) is active in the NPPES registry as of the last update on 2007-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.