RALEYS (NPI# 1407966161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407966161 |
| Entity Type | Organization |
| Organization Name | RALEYS |
| Practice Address |
9149 E Stockton Blvd Elk Grove CA 95624-9504 |
| Mailing Address |
500 West Capitol Ave. West Sacramento CA 95605-2696 |
| Practice Telephone | 9166854856 |
| Mailing Telephone | 9163736146 |
| Mailing Fax Number | 9163726226 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-11-12 |
| 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 |
PHY39563 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 0543632 | 01 | |
| CA | PHA395630 | 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 |
9149 E STOCKTON BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| 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 |
|---|---|---|---|---|
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1457674160 | Garfield Beach Cvs, L.L.C. | Pharmacy | 8400 Bradshaw Rd, Elk Grove, CA 95624-1420 | 2010-03-09 |
| 1124120514 | Bel Air Market Inc | Pharmacy | 8787 Elk Grove Blvd, Elk Grove, CA 95624-1742 | 2006-09-05 |
| 1033211420 | Bel Air Market Inc | Pharmacy | 9435 Elk Grove Blvd, Elk Grove, CA 95624-5013 | 2006-09-05 |
| 1699885350 | Bel Air Market Inc | Pharmacy | 5100 Laguna Blvd, Elk Grove, CA 95758-4159 | 2006-08-30 |
| 1962512624 | Bel Air Market Inc | Pharmacy | 8425 Elk Grove Florin Road, Elk Grove, CA 95624-9518 | 2006-08-30 |
| 1801801188 | Walgreen Co | Pharmacy | 9180 Franklin Blvd, Elk Grove, CA 95758-9501 | 2006-07-29 |
| 1427078328 | Raleys | Pharmacy | 4900 Elk Grove Blvd, Elk Grove, CA 95758-4188 | 2006-07-20 |
| 1336183789 | Longs Drug Stores California LLC | Pharmacy | 8585 Elk Grove Blvd, Elk Grove, CA 95624-1774 | 2006-06-16 |
| 1356596241 | Hao Hoang | Pharmacy | 9390 Big Horn Blvd, Ste 110, Elk Grove, CA 95758-7978 | 2008-11-19 |
| Find all providers in ELK GROVE | ||||
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| 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.