Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Ray Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1093340820

Frederick Ray Pharmacy LLC is a Long Term Care Pharmacy in Moodus, Connecticut. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26 Falls Rd
Moodus, CT 06469-1262
Phone: (860) 367-4773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1093340820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Tavares — Pharmacy Manager/Owner · (860) 367-4773
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing addressPo Box 457, Moodus, CT 06469-0457

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