Active NPI
Charles Edmund Raynor, PHARMD
- Psychiatric Pharmacist
- Oakland, CA
National Provider Identifier
1730200759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 56675
- Practice address
- 2000 Embarcadero Ste 400
Oakland, CA 94606-5300 - Phone
- (510) 383-1737
- Fax
- (510) 567-6850
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 56675 | CA | Primary |
| Pharmacist | 183500000X | 56675 | CA |
Addresses
Primary practice location
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Mailing address
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone (510) 383-1737
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 |
|---|---|---|---|
| 56675 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1730200759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EMBARCADERO STE 400",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946065300",
"telephone_number": "510-383-1737",
"fax_number": "510-567-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EMBARCADERO STE 400",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946065300",
"telephone_number": "510-383-1737",
"fax_number": "510-567-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "CHARLES",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "56675",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.