Organization Active NPI

Raleys

  • Community/Retail Pharmacy
  • Galt, CA
National Provider Identifier
1174633820
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53498 Issued in CA
Legal business name
RALEYS
Practice address
10430 Twin Cities Road
Galt, CA 95632-9032
Phone
(209) 745-4881
NPI assigned
Aug 30, 2006
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Helen S Singmaster
Title
Secretary
Phone
(916) 373-6394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY53498 CA Primary

Addresses

Primary practice location

10430 Twin Cities Road
Galt, CA 95632-9032

Mailing address

500 West Capitol Ave.
West Sacramento, CA 95605-2696
Phone (916) 373-6394

Other identifiers 2

IdentifierTypeStateIssuer
1174633820MedicaidCA
0505151OtherNCPDP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040831000246 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365417722 This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, CA; Petaluma, CA; S Lake Tahoe, CA; Rohnert Park, CA; Rohnert, CA; Redding, CA; Red Bluff, CA; Pleasanton, CA…
O20081120000206 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365417722 12 other NPIs on this enrollment
Practice locations: West Sacramento, CA; Sacramento, CA; Modesto, CA; Galt, CA; Citrus Heights, CA; Loomis, CA; Auburn, CA; Carmichael, CA
O20100930063237 CA DME Supplier - Pharmacy 2365417722 Practice locations: Galt, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Raleys #30210430 Twin Cities Rd, Galt, CA 95632-8832(209) 745-4881 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Raleys Drug Ctr 37452 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations (25 of 75)

3632 Lone Tree Way
Antioch, CA 94509
Phone (925) 754-5288

3636 Lone Tree Way
Antioch, CA 94509
Phone (510) 754-5288

13384 Lincoln Way
Auburn, CA 95603
Phone (530) 885-5785

13386 Lincoln Way
Auburn, CA 95603
Phone (530) 885-5785

2400 Sand Creek Rd
Brentwood, CA 94513
Phone (925) 513-8844

5157 Fair Oaks Blvd
Carmichael, CA 95608
Phone (916) 483-0419

2485 Notre Dame Blvd
Chico, CA 95928
Phone (530) 895-0895

7849 Lichen Dr
Citrus Heights, CA 95621
Phone (916) 722-1755

7847 Lichen Dr
Citrus Hts, CA 95621
Phone (916) 722-1755

9149 E Stockton Blvd
Elk Grove, CA 95624
Phone (916) 685-4856

4840 San Juan Ave
Fair Oaks, CA 95628
Phone (916) 966-2266

3001 Travis Blvd
Fairfield, CA 94534
Phone (707) 429-8310

3007 Travis Blvd
Fairfield, CA 94534
Phone (707) 429-8310

3330 N Texas St
Fairfield, CA 94533
Phone (707) 421-2940

25025 Blue Ravine Rd
Folsom, CA 95630
Phone (916) 351-0303

715 E Bidwell St
Folsom, CA 95630
Phone (916) 983-6574

39196 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 791-0657

39200 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 791-0233

692 Freeman Ln
Grass Valley, CA 95949
Phone (530) 272-2496

781 S State Highway 49
Jackson, CA 95642
Phone (209) 223-9640

311 S Lower Sacramento Rd
Lodi, CA 95242
Phone (209) 369-7403

333 S Lower Sacramento Rd
Lodi, CA 95242
Phone (209) 369-7403

1280 W Lathrop Rd
Manteca, CA 95336
Phone (209) 825-0494

3548 G St
Merced, CA 95340
Phone (209) 722-3853

1611 E Hatch Rd
Modesto, CA 95351
Phone (209) 537-1900

Practitioners & affiliated clinicians

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 192

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1174633820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST CAPITOL AVE.",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052696",
            "telephone_number": "916-373-6394",
            "fax_number": "916-372-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 TWIN CITIES ROAD",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956329032",
            "telephone_number": "209-745-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SINGMASTER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-373-6394"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174633820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0505151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.