Rutul Rabari

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025961 Issued in AZ

Practice address

401 State Route 260
Payson, AZ 85541

Phone

(928) 472-8242

NPI assigned

Aug 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Payson, AZ
  • NPI 1700815750
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1144949587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W MADERA LN",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415240",
            "telephone_number": "478-342-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STATE ROUTE 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "85541",
            "telephone_number": "928-472-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABARI",
        "first_name": "RUTUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lee Price, F.N.P.
• Privia Medical Group Arizona, LLC
• Angela Dawn Prock
• Andrew Quast, PA-C
• R M Arizona Holdings Inc
• Walter Frederick Raddatz, PHARMACIST
• Raley'S Arizona LLC
• Kelsey Nicole Randall, RDMS
• Anna Ransom
• Katharine Ann Raymer, MD

• Pharmacist in Payson, AZ
• Providers in Payson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.