Active NPI
Ray's Pharmacy, Inc.
Doing business as Ray's Pharmacy #2
- Community/Retail Pharmacy
- Kennedale, TX
National Provider Identifier
1376555037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12743
- 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, 2012
- 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
- Mr. Robert Daniel Ray, R.PH.
- Title
- Owner/President
- Phone
- (817) 473-1505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140381 | Medicaid | TX |
Other names 1
- RAY'S PHARMACY #2
National Provider Directory
National Provider Directory- Tax ID family
- Hamilton City Drug
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ray's Pharmacy Hunters Pointe
- Community/Retail Pharmacy
- Mansfield, TX
- NPI 1629302716
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.
-
- Pharmacist
- Kennedale, TX
- NPI 1346327509
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.