FREDERICK RAY PHARMACY LLC
NPI 1487298782
Pharmacy in Moodus, CT

Active since October 30, 2019

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2020, Oct 30, 2019 (2 updates tracked since 2019).

About Frederick Ray Pharmacy Llc NPPES

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

FREDERICK RAY PHARMACY LLC (NPI 1487298782) is a healthcare organization registered as a pharmacy in Moodus, Connecticut and active in the NPI registry since October 2019. The organization lists Daniel V Tavares, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1487298782
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFREDERICK RAY PHARMACY LLC
Location Address26 FALLS RDMoodus, CT 06469-1262
Mailing Address12 Keyboard LnIvoryton, CT 06442-1265 · (860) 367-4773
Organization SubpartNo
Authorized OfficialDaniel V TavaresPharmacy Manager · (860) 367-4773
Enumeration DateOctober 30, 2019
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
NPI 1487298782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

26 FALLS RD, Moodus, CT 06469

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Pharmacy (Community/Retail Pharmacy)
26 FALLS RD
MOODUS, CT 06469
Pharmacist
26 FALLS RD
MOODUS, CT 06469
Pharmacist
26 FALLS RD
MOODUS, CT 06469
Pharmacy (Long Term Care Pharmacy)
26 FALLS RD
MOODUS, CT 06469
Pharmacy (Long Term Care Pharmacy)
26 FALLS RD
MOODUS, CT 06469
Pharmacy (Community/Retail Pharmacy)
26 FALLS RD
MOODUS, CT 06469

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487298782, enumerated as an "organization" on October 30, 2019.

The provider is located at 26 FALLS RD MOODUS, CT 06469 and the phone number is (860) 367-4773.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica and Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.