Kendra L. Gray, PHARMD
Individual provider Active NPI Pharmacist · Hayes, VA
NPI 1649569435 · NPPES record last updated Apr 1, 2011
Key facts
- NPI
- 1649569435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202206626 (VA)
- Practice address
- 2460 George Washington Memorial Hwy
Hayes, VA 23072-3566 - Phone
- (804) 642-2115
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| RPH023503 | GA | MD | Pharmacist |
| 0202206626 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206626 | VA | Yes |
| Pharmacist | 183500000X | RPH023503 | GA |
Addresses
Primary practice location
2460 George Washington Memorial Hwy
Hayes, VA 23072-3566
Mailing address
2460 George Washington Memorial Hwy
Hayes, VA 23072-3566
Phone (804) 642-2115
Other providers in Hayes, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2011. 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.