OrganizationActive
Frederick Ray Pharmacy LLC
NPI 1487298782 · Pharmacy · Moodus, CT
Frederick Ray Pharmacy LLC is a Pharmacy organization in Moodus, CT (NPI 1487298782).
Provider details
- NPI number
- 1487298782
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Daniel Tavares, Pharmacy Manager(860) 367-4773
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 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
12 Keyboard Ln
Ivoryton, CT 06442-1265
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Frequently asked questions
- What is Frederick Ray Pharmacy LLC's NPI number?
- Frederick Ray Pharmacy LLC's National Provider Identifier (NPI) is 1487298782, 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 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. 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 (1487298782) is active in the NPPES registry as of the last update on 2020-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.