Rays Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

208129 Issued in KS

Legal business name

RAYS PHARMACY INC

Doing business as

Rays Pharmacy

Practice address

414 Main St
Quinter, KS 67752

Phone

(785) 754-3312

Fax

(785) 754-3844

NPI assigned

May 31, 2006

Last updated

Jun 15, 2018By 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

Doris Tebow

Title

Secretary/Treasurer

Phone

(785) 754-3312

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• RAYS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Rays Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ray's Pharmacy Inc

  dba Hi Plains Oxygen

  • Oxygen Equipment & Supplies (DME)
  • Quinter, KS
  • NPI 1689615353
  NPD tax ID

Practitioners 3

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 Jackson Tebow, RPH, PIC

  • Pharmacist
  • Quinter, KS
  • NPI 1588328694
  NPD
• Mollie Jill Bretz, RPH

  • Pharmacist
  • Atwood, KS
  • NPI 1437976875
  NPD (past)
• Jordan N Kiser, PHARMD

  • Pharmacist
  • Quinter, KS
  • NPI 1285304808
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1063469294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677525205",
            "telephone_number": "785-754-3312",
            "fax_number": "785-754-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "67752",
            "telephone_number": "785-754-3312",
            "fax_number": "785-754-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "TEBOW",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "785-754-3312"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "208129",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-08129",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439990B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rene Mense, APRN
• Quinter Ambulance Service Inc
• Quinter Chiropractic Health and Wellness LLC
• Quinter Usd 293
• Ray's Pharmacy Inc (Hi Plains Oxygen)
• Michele Roesch-Johnson, OTR
• Flora Rummel
• Small Town Smiles LLC
• Robert Jackson Tebow, RPH, PIC
• Bradley Scott Wertz, CRNA

• Community/Retail Pharmacy in Quinter, KS
• Providers in Quinter, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.