Individual provider Active NPI

Andrew Stephen Ray, PHARMD

  • Pharmacist
  • Rock Hill, SC
National Provider Identifier
1083394035
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38100 Issued in SC
Practice address
775 Addison Dr Ste 110
Rock Hill, SC 29730-7061
Phone
(803) 881-1350
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38100 SC Primary
Pharmacist 183500000X 051296418 IL
Pharmacist 183500000X 28481 NC
Pharmacist 183500000X 26022657A IN

Addresses

Primary practice location

775 Addison Dr Ste 110
Rock Hill, SC 29730-7061

Mailing address

775 Addison Dr Ste 110
Rock Hill, SC 29730-7061
Phone (803) 881-1350

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

LicenseStateTypeSpecialty
28481NCMDAddiction (Substance Use Disorder) Counselor
051296418ILMDPharmacist
26022657AINMDPharmacist
38100SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tsi South CurrentSince Jul 31, 2023 Accepting new patients
Tsi South PastSince Jul 31, 2023 Accepting new patients

Locations

775 Addison Dr
Ste 110
Rock Hill, SC 29730
Phone (803) 881-1350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1083394035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 ADDISON DR STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307061",
            "telephone_number": "803-881-1350",
            "fax_number": "803-324-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ADDISON DR STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307061",
            "telephone_number": "803-881-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANDREW",
        "middle_name": "STEPHEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "38100",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296418",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28481",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022657A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.