John Richard Gray Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.017020 Issued in LA

Practice address

2255 Woodward Ave
Shreveport, LA 71103-3547

Phone

(318) 429-0161

Fax

(318) 429-0163

NPI assigned

Sep 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Polks Crossgates Discount Drugs Inc

  • Community/Retail Pharmacy
  • Shreveport, LA
  • NPI 1265538664
  NPD (past) Authorized official
• Polk'S Crossgate Discount Drugs Inc.

  • Community/Retail Pharmacy
  • Richland, MS
  • NPI 1518997410
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1649588237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 WOODWARD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033547",
            "telephone_number": "318-429-0161",
            "fax_number": "318-429-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 WOODWARD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033547",
            "telephone_number": "318-429-0161",
            "fax_number": "318-429-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17020",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.017020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmer Grau, RD, CDE
• Laura A. Graves, M.S.
• Casey Renee' Gray, L.O.T.R.
• Jatiqualyn Dejenae Gray
• Jessica Gray
• Kathryn Isabella Gray
• Reshauna M Gray, PHARM.D
• Samantha Marie Gray
• Todd D Gray, CRNA
• Linda Irene Grayson, LCSW

• Pharmacist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.