Rayco Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1326131703 Issued in UT

Legal business name

RAYCO CORPORATION

Practice address

1130 Washington Blvd
Ogden, UT 84404-4951

Phone

(801) 399-4054

Fax

(801) 399-4056

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Emory Wayne Elwell, RPH

Title

Pharmacy Manager

Phone

(801) 399-4054

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Stop and Shop Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1881614535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044951",
            "telephone_number": "801-399-4054",
            "fax_number": "801-399-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044951",
            "telephone_number": "801-399-4054",
            "fax_number": "801-399-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYCO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "EMORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "801-399-4054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "1326131703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "1326131703",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4601856",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stop and Shop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ogden, UT
• Providers in Ogden, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.