Organization Active NPI

Shorewood Communications Inc

Doing business as Ray's General Store and Pharmacy

  • Community/Retail Pharmacy
  • Eastsound, WA
National Provider Identifier
1912034497
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00058623 Issued in WA
Legal business name
SHOREWOOD COMMUNICATIONS INC
Doing business as
Ray's General Store and Pharmacy
Ray's Pharmacy
Practice address
68 N Beach Rd # 5
Eastsound, WA 98245-8200
Phone
(360) 376-2230
Fax
(866) 357-8746
NPI assigned
Feb 28, 2007
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Mr. Charles Richard Hughes II, PHARM B
Title
President
Phone
(360) 472-0253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00058623 WA Primary

Addresses

Primary practice location

68 N Beach Rd # 5
Eastsound, WA 98245-8200

Mailing address

PO Box 230
Eastsound, WA 98245-0230
Phone (360) 376-2230

Other identifiers 1

IdentifierTypeStateIssuer
4903313OtherWANCPDP PROVIDER NUMBER

Other names 2

  • Ray's General Store and Pharmacy Doing business as
  • Ray's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203001170 WA Part B Supplier - Pharmacy 7810387487 Practice locations: Eastsound, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2220762Ray's General Store and Pharmacy68 North Beach Road, Eastsound, WA 98245Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1912034497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982450230",
            "telephone_number": "360-376-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N BEACH RD # 5",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458200",
            "telephone_number": "360-376-2230",
            "fax_number": "866-357-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREWOOD COMMUNICATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-472-0253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM B"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00058623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "4903313",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray's General Store and Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ray's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.