IndividualActive
Tracie Boudreau
NPI 1750629994 · Pharmacist · Saint Johns, FL
Tracie Boudreau is a Pharmacist provider in Saint Johns, FL (NPI 1750629994).
Provider details
- NPI number
- 1750629994
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS38130 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
450 State Road 13 Suite 109
Saint Johns, FL 32259
Phone: (904) 230-3207
Street-level locationGet directions
Mailing address
450 State Road 13 Ste 109
Saint Johns, FL 32259-3861
Registry dates
- Enumerated
- 2013-01-23
- Last updated
- 2013-01-23
Frequently asked questions
- What is Tracie Boudreau's NPI number?
- Tracie Boudreau's National Provider Identifier (NPI) is 1750629994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracie Boudreau's specialty?
- Tracie Boudreau is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Tracie Boudreau located?
- Tracie Boudreau's practice location on file with NPPES is 450 State Road 13 Suite 109, Saint Johns, FL 32259.
- What is Tracie Boudreau's phone number?
- The practice phone number listed in the NPPES registry for Tracie Boudreau is (904) 230-3207.
- Is Tracie Boudreau's NPI active?
- Yes — Tracie Boudreau's NPI (1750629994) is active in the NPPES registry as of the last update on 2013-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.