Active NPI
Kennedy Lynn Stray, PHARMD
- Pharmacist
- Aberdeen, NC
National Provider Identifier
1669112660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31547
- Practice address
- 1706 N Sandhills Blvd
Aberdeen, NC 28315-2338 - Phone
- (910) 944-1502
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5351013292 | MI | |
| Pharmacist | 183500000X | 31547 | NC | Primary |
Addresses
Primary practice location
1706 N Sandhills Blvd
Aberdeen, NC 28315-2338
Mailing address
15925 Algoma Ave NE
Cedar Springs, MI 49319-8867
Phone (231) 519-1695
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31547 | NC | MD | Pharmacist |
| 5351013292 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Aberdeen, NC
- NPI 1720093826
-
- Pharmacy
- Walker, MI
- NPI 1053501577
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1669112660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15925 ALGOMA AVE NE",
"city": "CEDAR SPRINGS",
"state": "MI",
"postal_code": "493198867",
"telephone_number": "231-519-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152338",
"telephone_number": "910-944-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAY",
"first_name": "KENNEDY",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5351013292",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
- Southern Pines Prescription Shoppe
- Specialized Services & Personnel Inc
- Specialized Services & Personnel, Inc.
- Donna Stephens Johnson, LMBT, MMP
- Michael Stiranka, PA
- Taylor Strickland, PHARMD
- Brenda Burley Stroker, DC
- Scott Gilbert Stroker, D.C.
- Sur-Regional Home Care Agency,Inc.
- Bertha Taylor-Miller, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.