Organization Active NPI

Ray's Pharmacy, Inc.

Doing business as Ray's Pharmacy #2

  • Community/Retail Pharmacy
  • Kennedale, TX
National Provider Identifier
1376555037
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12743 Issued in TX
Legal business name
RAY'S PHARMACY, INC.
Doing business as
Ray's Pharmacy #2
Practice address
301 W Kennedale Pkwy
Kennedale, TX 76060-2421
Phone
(817) 478-8225
Fax
(817) 483-2236
NPI assigned
Aug 12, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Robert Daniel Ray, R.PH.
Title
Owner/President
Phone
(817) 473-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 12743 TX Primary

Addresses

Primary practice location

301 W Kennedale Pkwy
Kennedale, TX 76060-2421

Mailing address

PO Box 279
Kennedale, TX 76060-0279
Phone (817) 478-8225

Other identifiers 1

IdentifierTypeStateIssuer
140381MedicaidTX

Other names 1

  • RAY'S PHARMACY #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hamilton City Drug3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 W Kennedale Pkwy
Kennedale, TX 76060
Phone (817) 478-8225

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1376555037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760600279",
            "telephone_number": "817-478-8225",
            "fax_number": "817-483-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W KENNEDALE PKWY",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602421",
            "telephone_number": "817-478-8225",
            "fax_number": "817-483-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-473-1505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAY'S PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennedale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.