RALEYS (NPI# 1114037876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114037876 |
| Entity Type | Organization |
| Organization Name | RALEYS |
| Practice Address |
2401 E Orangeburg Ave Modesto CA 95355-3351 |
| Practice Telephone | 2095775677 |
| Practice Fax Number | 2095774612 |
| Mailing Telephone | 2095775677 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-02-11 |
| Authorized Official Name | FLINT PENDERGRAFT (VP PHARMACY AND HLI) |
| Authorized Official Telephone | 9163736146 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY20506 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0568230 | 01 | |
| CA | PHA205060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508355405 | Raleys | Pharmacy | 1400 State Route 95a N, Fernley, NV 89408 | 2018-05-07 |
| 1063901965 | Raleys | Pharmacy | Hwy 95 & Air Force Rd., Tonopah, NV 89049 | 2018-05-07 |
| 1649419268 | Raleys | Pharmacy | 157 N Mcdowell Blvd, Petaluma, CA 94954-2304 | 2009-02-05 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| 1396944872 | Raleys | Pharmacy | 3020 Floyd Ave, Modesto, CA 95355-9604 | 2007-07-13 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1144317496 | Raleys | Pharmacy | 40041 Highway 49, Oakhurst, CA 93644-9560 | 2006-10-06 |
| 1568567949 | Raleys | Pharmacy | 692 Freeman Lane, Grass Valley, CA 95949-9616 | 2006-09-13 |
| 1306948799 | Raleys | Pharmacy | 8870 Madison Ave, Fair Oaks, CA 95628-3908 | 2006-09-05 |
| 1942302336 | Raleys | Pharmacy | 25025 Blue Ravine Rd, Folsom, CA 95630-5258 | 2006-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Raleys Investment Group LLC | 901 Meade Drive, Greensboro, NC 27410 |
| Street Address |
2401 E ORANGEBURG AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952460867 | Odermatt Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2401 E Orangeburg Ave, Suite 535, Modesto, CA 95355-3351 | 2006-12-06 |
| 1083901433 | Kim Radanovich | Pharmacist | 2401 E Orangeburg Ave, Modesto, CA 95355-3351 | 2011-07-06 |
| 1417083395 | George Arthur Patton | Optometrist | 2401 E Orangeburg Ave, Suite # 280, Modesto, CA 95355-3351 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851947410 | Malhi Pharmacy Inc | Pharmacy | 1620 Crows Landing Rd Ste H, Modesto, CA 95358-5602 | 2019-08-09 |
| 1861965410 | Familia Farmacia Inc | Pharmacy | 1757 Crows Landing Rd, Modesto, CA 95358-5608 | 2019-01-07 |
| 1396944872 | Raleys | Pharmacy | 3020 Floyd Ave, Modesto, CA 95355-9604 | 2007-07-13 |
| 1689752198 | Gil-jer, Inc | Pharmacy | 2400 Coffee Rd, Ste I, Modesto, CA 95355-2051 | 2006-11-01 |
| 1740374149 | Best Pharmacy Nguyen Giao | Pharmacy | 639 Paradise Rd, Suite 5, Modesto, CA 95351-3108 | 2006-10-03 |
| 1528178282 | Raleys | Pharmacy | 1611 E Hatch Rd, Modesto, CA 95351-5009 | 2006-08-30 |
| 1477663086 | Costco Wholesale Corporation | Pharmacy | 3801 Pelandale Ave, Modesto, CA 95356 | 2006-08-30 |
| 1952317513 | Walgreen Co | Pharmacy | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2006-08-01 |
| 1891717682 | Garfield Beach Cvs LLC | Pharmacy | 3405 Mchenry Ave, Modesto, CA 95350-1445 | 2006-07-24 |
| 1629012075 | Longs Drug Stores California LLC | Pharmacy | 2900 Standiford Ave, Modesto, CA 95350-0167 | 2006-06-16 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on RALEYS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.