Individual provider Active NPI

Kathleen Ray, PHARMD

  • Pharmacist
  • Bozeman, MT
National Provider Identifier
1891406641
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24060 Issued in MT
Practice address
142 Albrey TRL Apt C
Bozeman, MT 59718-5636
Phone
(208) 866-2108
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24060 MT Primary

Addresses

Primary practice location

142 Albrey TRL Apt C
Bozeman, MT 59718-5636

Mailing address

142 Albrey TRL Apt C
Bozeman, MT 59718-5636
Phone (208) 866-2108

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL CVS CVS Pharmacy, Inc
SOAP URL SOAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24060MTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891406641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ALBREY TRL APT C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185636",
            "telephone_number": "208-866-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ALBREY TRL APT C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185636",
            "telephone_number": "208-866-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "24060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "Y",
            "affiliationName": "CVS Pharmacy, Inc",
            "address_1": "485 Texas Ave",
            "city": "Bridge City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776114221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "address_1": "142 Albrey Trl Apt C",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597185636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.