Active NPI
Andrew Stephen Ray, PHARMD
- Pharmacist
- Rock Hill, SC
National Provider Identifier
1083394035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28481 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 051296418 | IL | MD | Pharmacist |
| 26022657A | IN | MD | Pharmacist |
| 38100 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsi South | Current | Accepting new patients | |
| Tsi South | Past | 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.
-
- Home Infusion Therapy Pharmacy
- Rock Hill, SC
- NPI 1033782255
-
- Home Infusion Agency
- Mount Pleasant, SC
- NPI 1063105708
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.