Organization Active NPI

Raincross Outpatient Pharmacy Inc

  • Long Term Care Pharmacy
  • Riverside, CA
National Provider Identifier
1124711684
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on May 31, 2023

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

Authorized official

Name
Ramesh UpadhyayulaNPI 1467775619
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.