Pritesh Ray

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302039968 Issued in MI

Practice address

25301 Van Dyke Ave
Center Line, MI 48015-1425

Phone

(248) 230-8044

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Specialty Pharmacy LLC

  dba Alliance Specialty Pharmacy

  • Community/Retail Pharmacy
  • Center Line, MI
  • NPI 1154841526
  NPD Authorized official
• Twelve Oaks Pharmacy LLC

  • Community/Retail Pharmacy
  • Novi, MI
  • NPI 1003524786
  NPD Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1346750742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25301 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151425",
            "telephone_number": "248-230-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151425",
            "telephone_number": "248-230-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "PRITESH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primecare Medical Centers of Michigan, P.L.L.C.
• Professional Dental Alliance of Michigan, LLC (Refresh Dental Center Line)
• Madeline Mae Prusinowski
• Oleksandra Ptichkina
• Laura Ann Purdy, LLPC
• Nicole Danielle Rebar
• Jennifer Reddick, LLMSW
• Rehab Associates, Inc
• Waleed Rhebi
• Kimone Richards

• Pharmacist in Center Line, MI
• Providers in Center Line, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.