Organization Active NPI

Rays Pharmacy Inc

  • Long Term Care Pharmacy
  • Mansfield, TX
National Provider Identifier
1841203007
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
14440 Issued in TX
Legal business name
RAYS PHARMACY INC
Practice address
1831 E Broad St Ste 213
Mansfield, TX 76063-9171
Phone
(817) 477-2525
Fax
(817) 473-4136
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Robert Ray, RPH
Title
President and Owner
Phone
(817) 473-1147

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 14440 TX Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1831 E Broad St Ste 213
Mansfield, TX 76063-9171

Mailing address

1831 E Broad St
Ste# 207
Mansfield, TX 76063-9170
Phone (817) 473-1147

Other identifiers 2

IdentifierTypeStateIssuer
143702MedicaidTX
2099430OtherPK

Other names 1

  • QIC PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1841203007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E BROAD ST",
            "address_2": "STE# 207",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639170",
            "telephone_number": "817-473-1147",
            "fax_number": "817-473-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E BROAD ST STE 213",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639171",
            "telephone_number": "817-477-2525",
            "fax_number": "817-473-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "817-473-1147",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "14440",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QIC PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.