Provider Demographics
NPI:1528638913
Name:RAY, MAIA (PHARMD)
Entity type:Individual
Prefix:
First Name:MAIA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MAIA
Other - Middle Name:
Other - Last Name:PEREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2252 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3965
Mailing Address - Country:US
Mailing Address - Phone:785-235-8796
Mailing Address - Fax:
Practice Address - Street 1:2252 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3965
Practice Address - Country:US
Practice Address - Phone:785-235-8796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-109442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist