Individual provider
DR. RAYE JETHRO MUTCHERSON II, PHARMD
CMS NPPES lists DR. RAYE JETHRO MUTCHERSON II as an individual provider record with NPI 1215883921. The current record reports a primary practice location in ANSONIA, CT and primary taxonomy code 183500000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location24 PERSHING DR # 36ANSONIA, CT 064012214
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
183500000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- March 5, 2026
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.