Ralphs Grocery Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY01592 Issued in NV

Legal business name

RALPHS GROCERY COMPANY

Practice address

2255 N Las Vegas Blvd
N Las Vegas, NV 89030-5840

Phone

(702) 642-1111

Fax

(702) 642-4959

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Angela Truster

Title

Pharmacy Ecommerce Manager

Phone

(513) 387-7113

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FOOD4LESS PHARMACY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1114095015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W ARTESIA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N LAS VEGAS BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890305840",
            "telephone_number": "702-642-1111",
            "fax_number": "702-642-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPHS GROCERY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "TRUSTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY ECOMMERCE MANAGER",
        "authorized_official_telephone_number": "513-387-7113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PHY01592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002802580",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2904399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOD4LESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Evans Quintero, PA-C
• Norma Quiroa
• Hashim Jehanzeb Qureshi, D.O.
• Natalie Radovich
• Rainbow Adult Child Family Services
• Raldy Ramirez-Villanueva, RBT
• Tonya Ramsey
• Eric D Randolph
• Moneek Rankin
• Quiana Rankin

• Community/Retail Pharmacy in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.