Active NPI
Ian Joseph Bray, PHARMD
- Pharmacist
- Arvada, CO
National Provider Identifier
1982379814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029401A
- Practice address
- 8557 Holman CT
Arvada, CO 80005-1460 - Phone
- (303) 942-3427
- Fax
- (720) 410-8647
- NPI assigned
- Aug 12, 2021
- Last updated
- Mar 10, 2023
- 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 | 26029401A | IN | Primary |
Addresses
Primary practice location
8557 Holman CT
Arvada, CO 80005-1460
Mailing address
8557 Holman CT
Arvada, CO 80005-1460
Phone (303) 942-3427
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26029401A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| Hook-Superx LLC | Past | Accepting new patients |
Locations
8557 Holman Ct
Arvada, CO 80005
Phone (303) 942-3427
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Arvada, CO
- NPI 1518613645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1982379814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8557 HOLMAN CT",
"city": "ARVADA",
"state": "CO",
"postal_code": "800051460",
"telephone_number": "303-942-3427",
"fax_number": "720-410-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8557 HOLMAN CT",
"city": "ARVADA",
"state": "CO",
"postal_code": "800051460",
"telephone_number": "303-942-3427",
"fax_number": "720-410-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "IAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029401A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.