Stephanie Dianne Ray

Primary specialty

PharmacistTaxonomy code 183500000X

License

051035072 Issued in IL

Practice address

3930 44TH Avenue Dr
Moline, IL 61265-6401

Phone

(309) 736-2275

Fax

(309) 736-2277

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1073158366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 8TH STREET CT",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655175",
            "telephone_number": "309-738-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 44TH AVENUE DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656401",
            "telephone_number": "309-736-2275",
            "fax_number": "309-736-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051035072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Ramos
• Lauren Randleman, BSN, RN
• William E. Rankin, MD
• Gerald Alan Rauba, D.C.
• James D Ray, LCPC
• Real Health Chiropractic
• Bouyella H Reddy, M.D.
• Sora H Reddy, M.D.
• Tammy Reed
• Jenifer Regennitter, LCPC

• Pharmacist in Moline, IL
• Providers in Moline, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.