Robert Dray III, PHARM. D
Individual provider Active NPI Pharmacist · Poland, OH
NPI 1609476159 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1609476159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03232715 (OH)
- Practice address
- 1300 Doral Dr
Poland, OH 44514-1900 - Phone
- (330) 758-0040
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03232715 | OH | MD | Pharmacist |
| RP448392 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448392 | PA | |
| Pharmacist | 183500000X | 03232715 | OH | Yes |
Addresses
Primary practice location
1300 Doral Dr
Poland, OH 44514-1900
Mailing address
1140 Roseway Ave SE
Warren, OH 44484-2809
Phone (330) 219-2691
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.