Organization Active NPI

Raj Lunagaria Inc

Doing business as White Cross Pharmacy

  • Community/Retail Pharmacy
  • Brawley, CA
National Provider Identifier
1063688810
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY39991 Issued in CA
Legal business name
RAJ LUNAGARIA INC
Doing business as
White Cross Pharmacy
Practice address
602 Main St
Brawley, CA 92227-2548
Phone
(760) 344-3131
Fax
(760) 344-4676
NPI assigned
May 1, 2008
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raj Rakholia
Title
Manager
Phone
(760) 344-3131

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X PHY39991 CA Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

602 Main St
Brawley, CA 92227-2548

Mailing address

602 Main St
Brawley, CA 92227-2548
Phone (760) 344-3131

Other identifiers 2

IdentifierTypeStateIssuer
2116437OtherPK
5592710002MedicaidCA

Other names 1

  • WHITE CROSS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1063688810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272548",
            "telephone_number": "760-344-3131",
            "fax_number": "760-344-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272548",
            "telephone_number": "760-344-3131",
            "fax_number": "760-344-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ LUNAGARIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "RAKHOLIA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-344-3131"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39991",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5592710002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WHITE CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.