FREDERICK RAY PHARMACY LLC (NPI# 1093340820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093340820 |
| Entity Type | Organization |
| Organization Name | FREDERICK RAY PHARMACY LLC |
| Practice Address |
26 Falls Rd Moodus CT 06469-1262 |
| Mailing Address |
Po Box 457 Moodus CT 06469-0457 |
| Practice Telephone | 8603674773 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. DANIEL TAVARES (PHARMACY MANAGER/OWNER) |
| Authorized Official Telephone | 8603674773 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298782 | Frederick Ray Pharmacy LLC | Pharmacy | 26 Falls Rd, Moodus, CT 06469-1262 | 2019-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Frederick Ray Pharmacy LLC | 26 Falls Rd, Moodus, CT 06469 |
| Street Address |
26 FALLS RD |
| City | MOODUS |
| State | CT |
| Zip Code | 06469-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194578 | Nathan Hale Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 26 Falls Rd, Moodus, CT 06469-1210 | 2005-09-20 |
| 1487298782 | Frederick Ray Pharmacy LLC | Pharmacy | 26 Falls Rd, Moodus, CT 06469-1262 | 2019-10-30 |
| 1528552197 | Daniel Tavares | Pharmacist | 26 Falls Rd, Moodus, CT 06469-1262 | 2018-06-18 |
| 1083074454 | Jack Herman | Pharmacist | 26 Falls Rd, Moodus, CT 06469-1262 | 2016-02-29 |
| 1205154416 | Terri Augustine | Pharmacist | 26 Falls Rd, Moodus, CT 06469-1210 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875712 | Chestelm Adult Day Services Inc | Clinic/Center | 542 Town Street, Moodus, CT 06469 | 2007-05-02 |
| 1588725345 | Steven M Pear | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-13 |
| 1679663066 | East Haddam Public Schools | Local Education Agency (LEA) | 26 Plains Rd, Moodus, CT 06469 | 2006-10-13 |
| 1528162633 | East Haddam Dental Associates PC | Dentist | 32 William F Palmer Road, Moodus, CT 06469 | 2006-09-11 |
| 1427110048 | Karl Peter Stofko | Dentist | 32 William F Palmer Rd, Moodus, CT 06469 | 2006-12-14 |
| 1396147708 | Christopher Petersen | Registered Nurse | 28 Leesville Rd, Moodus, CT 06469-1003 | 2014-09-17 |
| 1720513666 | Wellness Within, LLC | Social Worker | 424 E Haddam Moodus Rd, Moodus, CT 06469-1024 | 2017-04-28 |
| 1982609673 | Chestelm Health Care, Inc | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2005-06-17 |
| 1811437767 | Andrew Lizotte | Physical Therapy Assistant | 534 Town St, Moodus, CT 06469-1101 | 2017-02-26 |
| 1093180762 | Jessica Pandolfe | Speech-Language Pathologist | 534 Town St, Moodus, CT 06469-1101 | 2015-12-07 |
| Find all providers in zip 06469 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636469 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2020-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898523 | Beacon Pharmacy LLC | Pharmacy | 42 Windsor Ave, Vernon, CT 06066-2438 | 2019-12-19 |
| 1740658889 | Evine LLC | Pharmacy | 54 Tuttle Pl, Middletown, CT 06457-1863 | 2015-09-07 |
| 1992189146 | Wassef LLC | Pharmacy | 535 Boston Post Rd, Old Saybrook, CT 06475-1506 | 2015-07-17 |
| 1558704072 | Care 4 U Pharmacy, Inc. | Pharmacy | 216 Christian Ln, Suite B, Berlin, CT 06037-1450 | 2013-04-15 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1881791093 | Value Healthcare Services LLC | Pharmacy | 525 Knotter Dr, Cheshire Industrial Park, Cheshire, CT 06410-1100 | 2006-09-20 |
| 1851401814 | James L. Trifiro | Pharmacy | 1300 Hopmeadow St, Simsbury, CT 06070-1411 | 2006-08-30 |
| 1336170349 | Partners of Connecticut, LLC | Pharmacy | 6 Thompson Rd, East Windsor, CT 06088-9626 | 2006-07-06 |
| 1629077912 | Arrow Prescription Center 14 Inc | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2005-07-19 |
| 1780689836 | Masonic Healthcare Center | Pharmacy | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.