Frederick Ray Pharmacy LLC
NPI 1487298782ActiveOrganization· Pharmacy· Moodus, CT
Pharmacy in Moodus, Connecticut, registered in NPPES in October 2019. The authorized official on file is Daniel V. Tavares, PHARMD, Pharmacy Manager.
Overview
| NPI | 1487298782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2019 |
| Last updated in NPPES | Jan 27, 2020 |
| Certified by provider | Jan 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|