Rayval, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29311 Issued in TX

Legal business name

RAYVAL, LLC

Doing business as

Lakepointe Pharmacy
Lakepointe Pharmacy #3

Practice address

2715 Osler Dr
Grand Prairie, TX 75051-1051

Phone

(469) 733-1033

Fax

(469) 733-1034

NPI assigned

Dec 15, 2011

Last updated

Apr 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tam Phuong Vu

Title

Director/Owner

Phone

(469) 733-1033

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 2

• Lakepointe Pharmacy Doing business as
• Lakepointe Pharmacy #3 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sadaf Saghier, M.D

  • Pediatric Gastroenterology Physician
  • Arlington, TX
  • NPI 1346404159
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1720357064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 OSLER DR STE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511051",
            "telephone_number": "469-733-1033",
            "fax_number": "469-733-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 OSLER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511051",
            "telephone_number": "469-733-1033",
            "fax_number": "469-733-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYVAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "469-733-1033",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29311",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146520",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakepointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakepointe Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.