Active NPI
Anthony Bray, PHARMD, RPH
- Pharmacist
- San Angelo, TX
National Provider Identifier
1578088472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61194
- Practice address
- 3301 Sherwood Way
San Angelo, TX 76901-3528 - Phone
- (325) 942-0454
- NPI assigned
- Aug 11, 2017
- Last updated
- Aug 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61194 | TX | Primary |
Addresses
Primary practice location
3301 Sherwood Way
San Angelo, TX 76901-3528
Mailing address
7101 Appaloosa TRL Apt 216
San Angelo, TX 76901-5280
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61194 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
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": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502409600000",
"number": "1578088472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 APPALOOSA TRL APT 216",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769015280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 SHERWOOD WAY",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769013528",
"telephone_number": "325-942-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "ANTHONY",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-11",
"last_updated": "2017-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.