Healthcare Provider Details

I. General information

NPI: 1407765803
Provider Name (Legal Business Name): ALEXA RAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MORRIS ST
MORRISTOWN NJ
07960-4563
US

IV. Provider business mailing address

3730 SUTTON PARK LN
CUMMING GA
30040-5577
US

V. Phone/Fax

Practice location:
  • Phone: 973-385-2326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH026025
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: