NPIMap

Organization Active NPI

Raleys Inc

  • Community/Retail Pharmacy
  • Grass Valley, CA
National Provider Identifier
1356451017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RALEYS INC
Doing business as
RALEYS 213
Practice address
692A Freeman Lane
Grass Valley, CA 95949
Phone
(530) 272-2496
Fax
(530) 274-0632
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Flint Pendergraft, PHARMD
Title
VP Pharmacy and GM
Phone
(916) 373-6146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY34547 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

692A Freeman Lane
Grass Valley, CA 95949

Mailing address

692A Freeman Lane
Grass Valley, CA 95949

Other identifiers 2

IdentifierTypeStateIssuer
PHA345470MedicaidCA
0592344OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • RALEYS 213 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Raleys 24852 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

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

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": "1757548800000",
    "number": "1356451017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692A FREEMAN LANE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692A FREEMAN LANE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95949",
            "telephone_number": "530-272-2496",
            "fax_number": "530-274-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "FLINT",
        "authorized_official_title_or_position": "VP PHARMACY AND GM",
        "authorized_official_telephone_number": "916-373-6146",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY34547",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA345470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0592344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RALEYS 213",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.