Raley Prescription Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

8766 Issued in OK

Legal business name

RALEY PRESCRIPTION PHARMACY

Practice address

19320 E Admiral PL
Catoosa, OK 74015-3207

Phone

(918) 266-2283

Fax

(918) 266-4746

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce R. Raley, D.P.H.

Title

President

Phone

(918) 266-2283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700871217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL",
            "address_2": "P.O. BOX 1740",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153207",
            "telephone_number": "918-266-2283",
            "fax_number": "918-266-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 E ADMIRAL PL",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153207",
            "telephone_number": "918-266-2283",
            "fax_number": "918-266-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEY PRESCRIPTION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-266-2283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.H."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "8766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.