Ralphs Grocery Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45177 Issued in CA

Legal business name

RALPHS GROCERY COMPANY

Practice address

300 N 2ND St
El Cajon, CA 92021-6444

Phone

(619) 579-8022

Fax

(619) 579-8288

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Angela Truster

Title

Pharmacy Ecommerce Manager

Phone

(513) 387-7113

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RALPHS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1285659888",
    "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": "300 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920216444",
            "telephone_number": "619-579-8022",
            "fax_number": "619-579-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPHS GROCERY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "TRUSTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY ECOMMERCE MANAGER",
        "authorized_official_telephone_number": "513-387-7113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA451770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0558873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RALPHS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shyam Nanda Rahim
• Ali Rahimzadeh, M.A.
• Delya Rahmani, ACSW
• S David Rahnejat, DDS
• Rai Care Centers of Southern California II, LLC
• Peter Gunnarson Rambo, PT
• Yarleny Ramirez Bojorquez
• Jason James Ramirez-Potter
• A'Lexus Ramirez
• Daniela Ramirez

• Community/Retail Pharmacy in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.