Active NPI
Raynors Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Macclenny, FL
National Provider Identifier
1245323492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RAYNORS PHARMACY INC
- Practice address
- 698 F W Macclenny Ave
Ste F
Macclenny, FL 32063 - Phone
- (904) 259-3261
- Fax
- (904) 259-4154
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie Hickman
- Title
- Owner
- Phone
- (904) 259-3261
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Pharmacy | 333600000X | PH19482 | FL | |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
698 F W Macclenny Ave
Ste F
Macclenny, FL 32063
Mailing address
698 F W Macclenny Ave
Ste F
Macclenny, FL 32063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043330 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
698 W Macclenny Ave
Ste F
Macclenny, FL 32063
Phone (904) 259-3261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1245323492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 F W MACCLENNY AVE",
"address_2": "STE F",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "32063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 F W MACCLENNY AVE",
"address_2": "STE F",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "32063",
"telephone_number": "904-259-3261",
"fax_number": "904-259-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYNORS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HICKMAN",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-259-3261"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH19482",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1043330",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.