Active NPI
Rayven Likely, RPH
- Pharmacist
- Tuskegee, AL
National Provider Identifier
1730575416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19473
- Practice address
- 202 W Martin Luther King Hwy
Tuskegee, AL 36083-2131 - Phone
- (334) 727-6586
- NPI assigned
- Apr 9, 2015
- Last updated
- Dec 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 7801188 | AL | |
| Pharmacist | 183500000X | 19473 | AL | Primary |
Addresses
Primary practice location
202 W Martin Luther King Hwy
Tuskegee, AL 36083-2131
Mailing address
202 W Martin Luther King Hwy
Tuskegee, AL 36083-2131
Phone (334) 727-6586
Other practice location 1
1014 Centerwood DR
Mobile, AL 36608
Phone (251) 767-3656
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19473 | AL | MD | Pharmacist |
| 7801188 | AL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy LLC | Past | Accepting new patients | |
| Alabama CVS Pharmacy, L.L.C. | 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": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1730575416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W MARTIN LUTHER KING HWY",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360832131",
"telephone_number": "334-727-6586",
"fax_number": "334-727-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W MARTIN LUTHER KING HWY",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360832131",
"telephone_number": "334-727-6586"
}
],
"practiceLocations": [
{
"address_1": "1014 Centerwood DR",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "36608",
"country_code": "US",
"telephone_number": "251-767-3656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIKELY",
"first_name": "RAYVEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "7801188",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
- Robert Boyd Lewis IV, O.D.
- Life Enhancement Services
- Life Enhancement Services, Inc.
- Life Enhancement Services, Inc.
- Life Enhancement Services, Inc.
- Springe Yolanda Love, LCSW
- Phillip Anthony Lyman
- Macon County Council on Retardation and Rehabilitation, Inc.
- Macon County Health Dept Adult Immun
- Macon County Health Dept AIDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.