Active NPI
Raincross Outpatient Pharmacy Inc
- Long Term Care Pharmacy
- Riverside, CA
National Provider Identifier
1124711684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- RAINCROSS OUTPATIENT PHARMACY INC
- Practice address
- 4646 Brockton Ave Ste 104
Riverside, CA 92506-0103 - Phone
- (951) 788-4646
- Fax
- (951) 774-2836
- NPI assigned
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramesh Upadhyayula
- Title
- Ceo/Secretary
- Phone
- (951) 892-5828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
4646 Brockton Ave Ste 104
Riverside, CA 92506-0103
Mailing address
4646 Brockton Ave Ste 104
Riverside, CA 92506-0103
Phone (951) 788-4646
Other names 1
- RAINCROSS PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Palm Springs, CA
- NPI 1467775619
-
- Pharmacist
- Riverside, CA
- NPI 1174412456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1124711684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE STE 104",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060103",
"telephone_number": "951-788-4646",
"fax_number": "951-774-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE STE 104",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060103",
"telephone_number": "951-788-4646",
"fax_number": "951-774-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINCROSS OUTPATIENT PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "UPADHYAYULA",
"authorized_official_first_name": "RAMESH",
"authorized_official_title_or_position": "CEO/SECRETARY",
"authorized_official_telephone_number": "951-892-5828"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RAINCROSS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
- Raincross Dental
- Raincross Family Counseling
- Raincross Medical Center of Dermatology and Cosmetic Surgery, Inc
- Raincross Medical Group
- Raincross Medical Group Inc
- Raincross Outpatient Pharmacy Inc
- Raincross Urgent Care, Inc.
- Raincross Womens Medical Group Corp Inc
- Lakiesha Rainey
- Tartaneisura Datinka Rainey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.