Organization Active NPI

McRae Inc

  • Pharmacy
  • Lander, WY
National Provider Identifier
1821148818
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
52-00528 Issued in WY
Legal business name
MCRAE INC
Practice address
745 Main Street
Lander, WY 82520-3101
Phone
(307) 332-5712
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Raymond Anton McRae
Title
Pharmacist Owner
Phone
(307) 332-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 52-00528 WY Primary

Addresses

Primary practice location

745 Main Street
Lander, WY 82520-3101

Mailing address

175 Lincon Street
Lander, WY 82520-3101
Phone (307) 332-5712

Other names 1

  • McRae, INC Other name

National Provider Directory

National Provider Directory

Locations

745 Main St
Lander, WY 82520
Phone (307) 332-5712

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1821148818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LINCON STREET",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MAIN STREET",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRAE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "307-332-5712"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WY",
            "license": "52-00528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McRae, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.