Casie Lynn Bray, PHARMD

Individual provider Active NPI Pharmacist · Maineville, OH

NPI 1326374604 · NPPES record last updated Aug 4, 2022

Key facts

NPI
1326374604
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
19826 (NC)
Practice address
6647 S State Route 48
Maineville, OH 45039-9758
Phone
(513) 880-0023
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19826NCMDMental Health Counselor
03230686OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03230686 OH
Pharmacist 183500000X 19826 NC Yes

Addresses

Primary practice location

6647 S State Route 48
Maineville, OH 45039-9758

Mailing address

7316 Morrow Rossburg Rd
Morrow, OH 45152-9437
Phone (513) 446-9164

Other practice location 1

2606 E Ash St
Goldsboro, NC 27534-4515
Phone (919) 751-5548

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2022.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1326374604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 MORROW ROSSBURG RD",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451529437",
            "telephone_number": "513-446-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 S STATE ROUTE 48",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399758",
            "telephone_number": "513-880-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 E Ash St",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275344515",
            "country_code": "US",
            "telephone_number": "919-751-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "CASIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230686",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

All providers in Maineville, OH · Pharmacist in Ohio

Sources for this page

Verify at the official NPI Registry.