Blake Bray, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202211542 Issued in VA

Practice address

912 Airline Blvd
Portsmouth, VA 23707-3309

Phone

(757) 399-6361

NPI assigned

Sep 6, 2023

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Sri Drug Center Pharmacy LLC

  • Community/Retail Pharmacy
  • Portsmouth, VA
  • NPI 1275630105
  NPD
• Harris Teeter, LLC

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1134212434
  NPD (past)
• Harris Teeter LLC

  • Community/Retail Pharmacy
  • Apex, NC
  • NPI 1225856859
  NPD (past)

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1750167532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SEQUOIA WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514471",
            "telephone_number": "804-229-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073309",
            "telephone_number": "757-399-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Arctic Ave",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234513040",
            "country_code": "US",
            "telephone_number": "757-422-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "BLAKE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branch Medical Clinic Sewells Point
• Branch Medical Clinic Yorktown
• Lisa Branchaud
• Robert Griffiths Brandt, D.D.S.
• Matt Braslow, DO
• Janice Renee Bray, M.D.
• Karen Reynolds Brayboy, MSN, CNM
• Dinita Brazell
• Bre'S Beautique RX
• Breakthrough Therapeutic Supportive Services LLC

• Pharmacist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.