Active NPI
Deanna Rattray
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Salisbury, NC
National Provider Identifier
1073154233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 18827
- Practice address
- 401 Mocksville Ave FL 2
Salisbury, NC 28144-2735 - Phone
- (704) 633-9620
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18827 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18827 | NC | Primary |
Addresses
Primary practice location
401 Mocksville Ave FL 2
Salisbury, NC 28144-2735
Mailing address
2150 Country Club Rd Ste 300
Winston Salem, NC 27104-4241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DRATTRAY22554@DIRECT.NOVANTHEALTH.ORG |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18827 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- drattray22554@direct.novanthealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1073154233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 COUNTRY CLUB RD STE 300",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MOCKSVILLE AVE FL 2",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442735",
"telephone_number": "704-633-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTRAY",
"first_name": "DEANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18827",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "18827",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DRATTRAY22554@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "401 Mocksville Ave Fl 2",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281442735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.