Active NPI
Treysen Charles Edward Gray
- Pharmacist
- Fulton, MO
National Provider Identifier
1841100443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2026040896
- Practice address
- 1701 N Bluff St
Fulton, MO 65251-2499 - Phone
- (573) 642-9255
- Fax
- (573) 642-5596
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2026040896 | MO | Primary |
Addresses
Primary practice location
1701 N Bluff St
Fulton, MO 65251-2499
Mailing address
1701 N Bluff St
Fulton, MO 65251-2499
Phone (573) 642-9255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1841100443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N BLUFF ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512499",
"telephone_number": "573-642-9255",
"fax_number": "573-642-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N BLUFF ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512499",
"telephone_number": "573-642-9255",
"fax_number": "573-642-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "TREYSEN",
"middle_name": "CHARLES EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2026040896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.