Active NPI
Robin Scott Gray, PHARM.D.
- Pharmacist
- Ellicott City, MD
National Provider Identifier
1023398351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17652
- Practice address
- 3538 Split Rail LN
Ellicott City, MD 21042-3831 - Phone
- (410) 418-4754
- NPI assigned
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17652 | MD | Primary |
| Pharmacist | 183500000X | PS 42159 | FL | |
| Pharmacist | 183500000X | 29324 | TN |
Addresses
Primary practice location
3538 Split Rail LN
Ellicott City, MD 21042-3831
Mailing address
3538 Split Rail LN
Ellicott City, MD 21042-3831
Phone (410) 418-4754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 42159 | FL | MD | Pharmacist |
| 17652 | MD | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1023398351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3538 SPLIT RAIL LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423831",
"telephone_number": "410-418-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3538 SPLIT RAIL LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423831",
"telephone_number": "410-418-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ROBIN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17652",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 42159",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "29324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.