IndividualActive
Tracy Custis Raynor, PHARM D
NPI 1346320298 · Pharmacist · Atkinson, NC
Provider details
- NPI number
- 1346320298
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- No
- License
- 13934 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
124 W. Main Street
Atkinson, NC 28421-2842
Phone: (910) 283-5400
Street-level locationGet directions
Mailing address
174 Foy Lockamy Rd
Jacksonville, NC 28540
Additional practice locations (1)
- 2200 Gumbranch RdSuite 1Jacksonville, NC 28540Phone: (910) 938-0582Fax: (910) 938-0239
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2020-09-11
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.