NPIMap

Organization Active NPI

S. Ray Johnson

  • Pharmacy
  • Dumas, TX
National Provider Identifier
1437284452
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
S. RAY JOHNSON
Doing business as
Pill Box
Practice address
601 S. Bliss Ave
Dumas, TX 79029-4434
Phone
(806) 935-2333
Fax
(806) 935-7096
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
S Ray Johnson, RPHNPI 1831151299
Title
Pharmacist Owner
Phone
(806) 935-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02472 TX
Pharmacy 333600000X TX Primary

Addresses

Primary practice location

601 S. Bliss Ave
Dumas, TX 79029-4434

Mailing address

601 S. Bliss Ave
Dumas, TX 79029-4434
Phone (806) 935-2333

Other identifiers 8

IdentifierTypeStateIssuer
010675903MedicaidTX
45D0952363OtherTXCLIA
20002809OtherTXDPS CONTROLLED DRUGS NO
010675902MedicaidTX
143922MedicaidTX
02472OtherTXPHCY STORE LICENSE
16082OtherTXS RAY JOHNSON PHCY LIC #
010675901MedicaidTX

Other names 1

  • Pill Box Doing business as

National Provider Directory

National Provider Directory

Locations

601 S Bliss Ave
Dumas, TX 79029
Phone (806) 935-2333

Practitioners & affiliated clinicians

Practitioners 2

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1437284452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S. BLISS AVE",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790294434",
            "telephone_number": "806-935-2333",
            "fax_number": "806-935-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S. BLISS AVE",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790294434",
            "telephone_number": "806-935-2333",
            "fax_number": "806-935-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. RAY JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "806-935-2333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "02472",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010675903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0952363",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS CONTROLLED DRUGS NO",
            "identifier": "20002809",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010675902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143922",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCY STORE LICENSE",
            "identifier": "02472",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S RAY JOHNSON PHCY LIC #",
            "identifier": "16082",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010675901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pill Box",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.