Raleys
Organization Active NPI Community/Retail Pharmacy · Tonopah, NV
NPI 1063901965 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1063901965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RALEYS
- Practice address
- Hwy 95 & Air Force Rd.
Tonopah, NV 89049 - Phone
- (115) 482-6711
- NPI assigned
- May 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Helen S. Singmaster
- Title
- Secretary
- Phone
- (916) 373-6394
Other NPIs on the same Medicare enrollment 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040830000271 | NV | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365417722 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Incline VLG, NV; Yerington, NV; Tonopah, NV; Sparks, NV; Reno, NV; Carson City, NV; Gardnerville, NV; Fernley, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
Hwy 95 & Air Force Rd.
Tonopah, NV 89049
Mailing address
500 W Capitol Ave
West Sacramento, CA 95605-2696
Phone (916) 676-6687
Other names
- Raley's Pharmacy #120
Other providers in Tonopah, NV
- Ashley Marie Porter
- Prime Care Nevada Inc
- Primecare Nevada Dba Nye Regional Medical Center
- Primecare Nevada Inc.
- Primecare Nevada Inc.
- Kurt Rettig
- Breanna Reyes
- Thomas J Schotik
- Scolaris Warehouse Markets Inc.
- Heather Singleton
All providers in Tonopah, NV · Community/Retail Pharmacy in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.