NPIMap

Organization Active NPI

Rayne Pharmacy, Inc

  • Pharmacist
  • Rayne, LA
National Provider Identifier
1295711786
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3537IR Issued in LA
Legal business name
RAYNE PHARMACY, INC
Practice address
713 Curtis Dr
Rayne, LA 70578-8311
Phone
(337) 334-5105
Fax
(337) 334-9424
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
John David Reed, RPH
Title
Owner/Pharmacist
Phone
(337) 334-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 3537IR LA Primary

Addresses

Primary practice location

713 Curtis Dr
Rayne, LA 70578-8311

Mailing address

713 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-5105

Other identifiers 1

IdentifierTypeStateIssuer
1264385MedicaidLA

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1295711786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CURTIS DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-5105",
            "fax_number": "337-334-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CURTIS DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-5105",
            "fax_number": "337-334-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-334-5105",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "3537IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264385",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.