Active NPI
Rachel Grace Banales, PHARM D.
- Pharmacist
- Apple Valley, CA
National Provider Identifier
1033628011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77145
- Practice address
- 20288 US Highway 18
Apple Valley, CA 92307-2937 - Phone
- (760) 240-5501
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77145 | CA | Primary |
Addresses
Primary practice location
20288 US Highway 18
Apple Valley, CA 92307-2937
Mailing address
14559 Woodworth Way
Victorville, CA 92394-0835
Phone (760) 596-7157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77145 | Other | CA | CA BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77145 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1033628011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14559 WOODWORTH WAY",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923940835",
"telephone_number": "760-596-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20288 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072937",
"telephone_number": "760-240-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANALES",
"first_name": "RACHEL",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF PHARMACY",
"identifier": "77145",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.