Active NPI
Ray'S Pharmacy, Inc.
- Community/Retail Pharmacy
- Mansfield, TX
National Provider Identifier
1003867227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 01376
- Legal business name
- RAY'S PHARMACY, INC.
- Practice address
- 1831 E Broad St
101
Mansfield, TX 76063-9170 - Phone
- (817) 473-1145
- Fax
- (817) 473-6749
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Daniel Ray, R.PH.
- Title
- Owner/President
- Phone
- (817) 473-1505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 01376 | TX | Primary |
Addresses
Primary practice location
1831 E Broad St
101
Mansfield, TX 76063-9170
Mailing address
1831 E Broad St
207
Mansfield, TX 76063-9170
Phone (817) 473-1147
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08409365 | Other | TX | MEDICARE EDI NO. |
| D08601893 | Other | TX | DMERC REG D EDI # |
| 140266 | Medicaid | TX | |
| 100244580A | Medicaid | OK | |
| 4511374 | Other | TX | NCPDP |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1831 E Broad St
Ste 207
Mansfield, TX 76063
1831 E Broad St
Ste 101
Mansfield, TX 76063
Phone (817) 473-1145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409875200000",
"number": "1003867227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E BROAD ST",
"address_2": "207",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639170",
"telephone_number": "817-473-1147",
"fax_number": "817-473-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 E BROAD ST",
"address_2": "101",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639170",
"telephone_number": "817-473-1145",
"fax_number": "817-473-6749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY'S PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2014-09-05",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "817-473-1505",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "01376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE EDI NO.",
"identifier": "C08409365",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC REG D EDI #",
"identifier": "D08601893",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140266",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100244580A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4511374",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.