Fonda Wray

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

56496 Issued in TX

Practice address

2210 S Fielder Rd
Arlington, TX 76013-6258

Phone

(817) 277-3533

Fax

(817) 277-7496

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kroger Texas L P

  • Community/Retail Pharmacy
  • Arlington, TX
  • NPI 1215000534
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

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": []
}

• Lyle Don Workman, M.D.
• World Medical Group PLLC
• J Trace Worrell, MD
• Gay Wortham
• WPMD LLC
• Scherraine Wrenn, APRN
• Wrfer Cooper, LLC
• Wright Wellness PLLC
• Chryssee Wright-Ohiri, LPCA
• David Wayne Wright, DDS

• All providers in Arlington, TX
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• 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.

Verify at the official NPI Registry.