Samuel Calvin Ray

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH016557 Issued in GA

Practice address

1300 Madison Ave S
Douglas, GA 31533-4404

Phone

(912) 384-0144

Fax

(912) 384-0252

NPI assigned

Feb 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1932431145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MADISON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334404",
            "telephone_number": "912-384-0144",
            "fax_number": "912-384-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MADISON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334404",
            "telephone_number": "912-384-0144",
            "fax_number": "912-384-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SAMUEL",
        "middle_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stephen Quinlan
• Radiology Assoc of South Ga, P.C.
• Ericca Sheree Rainey
• Ronald Rains
• Debra D Rathbun, NP
• Walter Shannon Ray, PAC
• Challori J. Reddy, M.D.
• Dyapa S Reddy, MD
• Karuna Dyapa Reddy, M.D.
• Candace Matthews Reed, LPC

• Pharmacist in Douglas, GA
• Providers in Douglas, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.