Active NPI
Razan Al Fraijat
- Pharmacist
- Whittier, CA
National Provider Identifier
1134568603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72836
- Practice address
- 10048 Mills Ave
Whittier, CA 90604-1201 - Phone
- (562) 903-9678
- NPI assigned
- Jun 18, 2013
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2283232 | MI | |
| Pharmacist | 183500000X | 72836 | CA | Primary |
Addresses
Primary practice location
10048 Mills Ave
Whittier, CA 90604-1201
Mailing address
10048 Mills Ave
Whittier, CA 90604-1201
Phone (562) 903-9678
Other practice location 1
32983 Ryan Rd
Warren, MI 48092
Phone (586) 264-2724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72836 | CA | MD | Pharmacist |
| 2283232 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 02509
- Community/Retail Pharmacy
- Warren, MI
- NPI 1639192347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1134568603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10048 MILLS AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906041201",
"telephone_number": "562-903-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10048 MILLS AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906041201",
"telephone_number": "562-903-9678"
}
],
"practiceLocations": [
{
"address_1": "32983 RYAN RD",
"address_purpose": "LOCATION",
"city": "WARREN",
"state": "MI",
"postal_code": "48092",
"country_code": "US",
"telephone_number": "586-264-2724",
"fax_number": "586-264-7716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL FRAIJAT",
"first_name": "RAZAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "2283232",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.