Organization Active NPI

Rayfields Pharmacy Inc

  • Community/Retail Pharmacy
  • Cape Charles, VA
National Provider Identifier
1568560506
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000733 Issued in VA
Legal business name
RAYFIELDS PHARMACY INC
Doing business as
Rayfields Pharmacy Inc
Practice address
2 Fig St
Cape Charles, VA 23310-3322
Phone
(757) 331-1212
Fax
(757) 331-1306
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Thomas Rayfield, RPH
Title
Owner, President
Phone
(757) 442-6159

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201000733 VA Primary

Addresses

Primary practice location

2 Fig St
Cape Charles, VA 23310-3322

Mailing address

9502 Hospital Avenue
PO Box 213
Nassawadox, VA 23413
Phone (757) 442-6159

Other identifiers 2

IdentifierTypeStateIssuer
2107232OtherPK
008509301MedicaidVA

Other names 1

  • RAYFIELDS PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920003359 VA Part B Supplier - Pharmacy 3577974880 Practice locations: Cape Charles, VA

National Provider Directory

National Provider Directory

Locations

2 Fig St
Cape Charles, VA 23310
Phone (757) 331-1212

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1568560506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 HOSPITAL AVENUE",
            "address_2": "PO BOX 213",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-442-6159",
            "fax_number": "757-442-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIG ST",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103322",
            "telephone_number": "757-331-1212",
            "fax_number": "757-331-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYFIELDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "RAYFIELD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "757-442-6159",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008509301",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYFIELDS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Charles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.