Active NPI
James Robert Ray
- Pharmacist
- Oneida, WI
National Provider Identifier
1962047845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10971-40
- Practice address
- 525 Airport Dr
Oneida, WI 54155-9035 - Phone
- (920) 869-4826
- NPI assigned
- Nov 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10971-40 | WI | Primary |
Addresses
Primary practice location
525 Airport Dr
Oneida, WI 54155-9035
Mailing address
2483 Clear Brook Cir
Green Bay, WI 54313-3977
Phone (920) 471-3823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337376 | Other | WI | NAPB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10971-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1962047845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 CLEAR BROOK CIR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543133977",
"telephone_number": "920-471-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 AIRPORT DR",
"city": "ONEIDA",
"state": "WI",
"postal_code": "541559035",
"telephone_number": "920-869-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JAMES",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10971-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAPB",
"identifier": "337376",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneida, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.