OrganizationActive
Frederick Ray Pharmacy LLC
NPI 1093340820 · Long Term Care Pharmacy · Moodus, CT
Frederick Ray Pharmacy LLC is a Long Term Care Pharmacy organization in Moodus, CT (NPI 1093340820).
Provider details
- NPI number
- 1093340820
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Daniel Tavares, Pharmacy Manager/Owner(860) 367-4773
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26 Falls Rd
Moodus, CT 06469-1262
Phone: (860) 367-4773
Street-level locationGet directions
Mailing address
Po Box 457
Moodus, CT 06469-0457
Registry dates
- Enumerated
- 2020-03-12
- Last updated
- 2020-03-12
- Certified
- 2020-03-12
Frequently asked questions
- What is Frederick Ray Pharmacy LLC's NPI number?
- Frederick Ray Pharmacy LLC's National Provider Identifier (NPI) is 1093340820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Frederick Ray Pharmacy LLC?
- Frederick Ray Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Frederick Ray Pharmacy LLC located?
- Frederick Ray Pharmacy LLC's practice location on file with NPPES is 26 Falls Rd, Moodus, CT 06469-1262.
- What is Frederick Ray Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Frederick Ray Pharmacy LLC is (860) 367-4773.
- Who is the authorized official for Frederick Ray Pharmacy LLC?
- The authorized official listed on Frederick Ray Pharmacy LLC's NPPES record is Daniel Tavares, Pharmacy Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Frederick Ray Pharmacy LLC's NPI active?
- Yes — Frederick Ray Pharmacy LLC's NPI (1093340820) is active in the NPPES registry as of the last update on 2020-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.