Colleen Bray, PHARMD
Individual provider Active NPI Pharmacist · San Pablo, CA
NPI 1871874263 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1871874263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 65171 (CA)
- Practice address
- 15650 San Pablo Ave
San Pablo, CA 94806-1240 - Phone
- (510) 234-1100
- Fax
- (510) 243-0527
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65171 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65171 | CA | Yes |
Addresses
Primary practice location
15650 San Pablo Ave
San Pablo, CA 94806-1240
Mailing address
15650 San Pablo Ave
San Pablo, CA 94806-1240
Phone (510) 234-1100
Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.