Individual provider Active NPI

Terry Lloyd Rayfield, RPH

  • Pharmacist
  • Haines City, FL
National Provider Identifier
1639453913
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH16249 Issued in FL
Practice address
35800 US Hwy 27 N
Haines City, FL 33844-3735
Phone
(863) 422-6661
Fax
(863) 422-8472
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS20704 FL
Pharmacist 183500000X 20704 FL
Pharmacist 183500000X PH16249 FL Primary

Addresses

Primary practice location

35800 US Hwy 27 N
Haines City, FL 33844-3735

Mailing address

35800 US Hwy 27 N
Haines City, FL 33844-3735
Phone (863) 422-6661

Other practice location 1

2970 Sequoyah Dr
Haines City, FL 33844-8173
Phone (863) 421-0640

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20704FLMDPharmacist
PH16249FLMDPharmacist
PS20704FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients

Locations

35800 US Hwy 27 N
Haines City, FL 33844
Phone (863) 422-6661

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1639453913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35800 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443735",
            "telephone_number": "863-422-6661",
            "fax_number": "863-422-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443735",
            "telephone_number": "863-422-6661",
            "fax_number": "863-422-8472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Sequoyah Dr",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338448173",
            "country_code": "US",
            "telephone_number": "863-421-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYFIELD",
        "first_name": "TERRY",
        "middle_name": "LLOYD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20704",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "20704",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH16249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.