NPIMap

Organization Active NPI

Ralphs Grocery Company

  • Community/Retail Pharmacy
  • Vista, CA
National Provider Identifier
1205904000
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RALPHS GROCERY COMPANY
Practice address
500 Hacienda Dr
Vista, CA 92081-6604
Phone
(760) 630-5121
Fax
(760) 630-5186
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Rebecca Cupp
Title
Pharmacy Merchandiser
Phone
(310) 884-4722

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PHY46704 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

500 Hacienda Dr
Vista, CA 92081-6604

Mailing address

1100 W Artesia Blvd
Compton, CA 90220-5108

Other identifiers 3

IdentifierTypeStateIssuer
PHY46704OtherMEDICARE MASS IMMUNIZER
5613232OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA467040MedicaidCA

Other names 1

  • FOOD4LESS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ralphs Grocery Company80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

500 Hacienda Dr
Vista, CA 92081
Phone (760) 630-5121

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1205904000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W ARTESIA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816604",
            "telephone_number": "760-630-5121",
            "fax_number": "760-630-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPHS GROCERY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CUPP",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHARMACY MERCHANDISER",
        "authorized_official_telephone_number": "310-884-4722"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46704",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZER",
            "identifier": "PHY46704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5613232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOD4LESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.