Organization Active NPI

Bray Pharmacy Inc

Doing business as Capital Pharmacy and Medical Equipment

  • Pharmacy
  • Frankfort, KY
National Provider Identifier
1184600280
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P01908 Issued in KY
Legal business name
BRAY PHARMACY INC
Doing business as
Capital Pharmacy and Medical Equipment
Practice address
662 E Main St
Frankfort, KY 40601-2338
Phone
(502) 223-2827
Fax
(502) 227-2026
NPI assigned
Dec 20, 2005
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Aaron McIntoshNPI 1881690568
Title
Owner
Phone
(502) 223-2827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P01908 KY Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

662 E Main St
Frankfort, KY 40601-2338

Mailing address

662 E Main St
Frankfort, KY 40601-2338
Phone (502) 223-2827

Other identifiers 2

IdentifierTypeStateIssuer
7100176150MedicaidKY
2132248OtherPK

Other names 1

  • Capital Pharmacy and Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000321 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4082652763 Practice locations: Frankfort, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1184600280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 E MAIN ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012338",
            "telephone_number": "502-223-2827",
            "fax_number": "502-227-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 E MAIN ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012338",
            "telephone_number": "502-223-2827",
            "fax_number": "502-227-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-223-2827"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P01908",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100176150",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Pharmacy and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.