Individual provider Active NPI

Kevin Cade McCray, PHARM. D., LMT

  • Pharmacist
  • Juneau, AK
National Provider Identifier
1528331410
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHAP2022 Issued in AK
Practice address
14010 N Douglas Hwy
Juneau, AK 99801-7600
Phone
(208) 604-2132
NPI assigned
Feb 22, 2012
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHAP2022 AK Primary
Massage Therapist 225700000X 27257 MT
Massage Therapist 225700000X 227304 AK

Addresses

Primary practice location

14010 N Douglas Hwy
Juneau, AK 99801-7600

Mailing address

7701 Debarr Rd
Anchorage, AK 99504-1845
Phone (907) 269-1733

Other practice location 1

8181 Old Glacier Hwy
Juneau, AK 99801
Phone (907) 789-6533

Other practice location 2

5225 Commercial Blvd
Juneau, AK 99801-7210
Phone (907) 780-2261

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHAP2022AKMDPharmacist
227304AKMDMassage Therapist
27257MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc Past Accepting new patients
Fred Meyer Stores Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1528331410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041845",
            "telephone_number": "907-269-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017600",
            "telephone_number": "208-604-2132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8181 Old Glacier Hwy",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "99801",
            "country_code": "US",
            "telephone_number": "907-789-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017210",
            "country_code": "US",
            "telephone_number": "907-780-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "KEVIN",
        "middle_name": "CADE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D., LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP2022",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "27257",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "227304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.