Robert W Gray

Primary specialty

PharmacyTaxonomy code 333600000X

License

0000000633 Issued in TN

Legal business name

ROBERT W GRAY

Doing business as

Lynchburg Drug Store

Practice address

47 Mechanic St
Eastside Public Square
Lynchburg, TN 37352

Phone

(931) 759-7329

Fax

(931) 759-4604

NPI assigned

Feb 16, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Gray, DPHNPI 1659411494

Title

Owner

Phone

(931) 759-7329

Specialties & licenses 4

Addresses

Other names 1

• LYNCHBURG DRUG STORE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert W Gray, DPH

  • Pharmacist
  • Lynchburg, TN
  • NPI 1659411494
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1053455758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373520174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MECHANIC ST",
            "address_2": "EASTSIDE PUBLIC SQUARE",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "37352",
            "telephone_number": "931-759-7329",
            "fax_number": "931-759-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W GRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-759-7329",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000000633",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYNCHBURG DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Carol Merritt, MS, RD, LDN, CDE
• Metropolitan Lynchburg-Moore County (Metro Moore County Ambulance Service)
• Robert Price, PT
• Deadra Renea Quinn, APN
• Robert R Yasui (Lynchburg Medical Clinic)
• Shelbyville Hospital Corporation (Lynchburg Family Medicine and Minor Emergency Center)
• Penelope A. Smith, M.A.
• State of Tennessee (Metro Moore Health Facility)
• Jana M. Stovall, NP
• Univita of Tennessee, Inc.

• Pharmacy in Lynchburg, TN
• Providers in Lynchburg, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.