Carole Ray, RPH
Individual provider Active NPI Pharmacist · Sycamore, GA
NPI 1962564112 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962564112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH011576 (GA)
- Practice address
- 400 Highway 32W
Sycamore, GA 31790 - Phone
- (229) 484-1225
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH011576 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH011576 | GA | Yes |
Addresses
Primary practice location
400 Highway 32W
Sycamore, GA 31790
Mailing address
400 Highway 32
P.O. Box 64
Sycamore, GA 31790
Phone (229) 484-1225
Other providers in Sycamore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.