Active NPI
Fonda Wray
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Arlington, TX
National Provider Identifier
1710517784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 56496
- Practice address
- 2210 S Fielder Rd
Arlington, TX 76013-6258 - Phone
- (817) 277-3533
- Fax
- (817) 277-7496
- NPI assigned
- Jan 18, 2020
- Last updated
- Jan 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 56496 | TX | Primary |
Addresses
Primary practice location
2210 S Fielder Rd
Arlington, TX 76013-6258
Mailing address
7116 Rose Quartz CT
Fort Worth, TX 76132-4331
Phone (317) 450-0784
Other practice location 1
7116 Rose Quartz Ct
Fort Worth, TX 76132-4331
Phone (317) 450-0784
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56496 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas LP | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579305600000",
"number": "1710517784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7116 ROSE QUARTZ CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324331",
"telephone_number": "317-450-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 S FIELDER RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136258",
"telephone_number": "817-277-3533",
"fax_number": "817-277-7496"
}
],
"practiceLocations": [
{
"address_1": "7116 Rose Quartz Ct",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761324331",
"country_code": "US",
"telephone_number": "317-450-0784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRAY",
"first_name": "FONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-18",
"last_updated": "2020-01-18",
"certification_date": "2020-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "56496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.