Active NPI
Dennis Ray Pryor, PHARMD.
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1700103629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH38948
- Practice address
- 949 Kendall Dr
San Bernardino, CA 92407-5801 - Phone
- (909) 886-1461
- Fax
- (909) 881-0581
- NPI assigned
- May 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH38948 | CA | Primary |
Addresses
Primary practice location
949 Kendall Dr
San Bernardino, CA 92407-5801
Mailing address
10657 Gemini Dr
Riverside, CA 92503-6044
Phone (951) 687-0703
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 |
|---|---|---|---|
| RPH38948 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- San Bernardino, CA
- NPI 1013026533
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272758400000",
"number": "1700103629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10657 GEMINI DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925036044",
"telephone_number": "951-687-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 KENDALL DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924075801",
"telephone_number": "909-886-1461",
"fax_number": "909-881-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "DENNIS",
"middle_name": "RAY",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-02",
"last_updated": "2010-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH38948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.