GARY L RAE RPH
NPI 1447840830
Pharmacist in Bolivar, MO

Active since January 20, 2021
2000 S SPRINGFIELD AVE, BOLIVAR, MO 65613(417) 326-7455 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary L Rae Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY L RAE RPH (NPI 1447840830) is an individual pharmacist in Bolivar, Missouri, licensed in Missouri (2007008323) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1447840830
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGARY L RAECredential: RPH
Location Address2000 S SPRINGFIELD AVEBolivar, MO 65613-9654
Mailing Address2000 S Springfield AveBolivar, MO 65613-9654 · (417) 326-7455
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1447840830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2007008323
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2000 S SPRINGFIELD AVE, Bolivar, MO 65613

Other Identifiers 1

Medicaid1538540406MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Compounding Pharmacy)
2000 S SPRINGFIELD AVE
BOLIVAR, MO 65613
Pharmacist
2000 S SPRINGFIELD AVE
BOLIVAR, MO 65613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Rae's NPI number?

The NPI number for Gary Rae is 1447840830. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Gary Rae located?

Gary Rae practices at 2000 S Springfield Ave, Bolivar, MO 65613. The listed phone number is (417) 326-7455.

What is Gary Rae's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gary Rae was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.