Active NPI
Raleys
- Community/Retail Pharmacy
- Benicia, CA
National Provider Identifier
1376653030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY53523
- Legal business name
- RALEYS
- Practice address
- 890 Southampton Rd
Benicia, CA 94510-1907 - Phone
- (707) 746-5565
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY53523 | CA | Primary |
Addresses
Primary practice location
890 Southampton Rd
Benicia, CA 94510-1907
Mailing address
500 West Capitol Ave.
West Sacramento, CA 95605-2696
Phone (916) 373-6146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376653030 | Medicaid | CA | |
| 0578813 | Other | NCPDP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20100930088466 | CA | DME Supplier - Pharmacy | 2365417722 | Practice locations: Benicia, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Raley'S Pharmacy #343 | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Raleys 248
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.
-
- Community/Retail Pharmacy
- West Sacramento, CA
- NPI 1083887095
-
- Community/Retail Pharmacy
- Loomis, CA
- NPI 1134239890
-
- Community/Retail Pharmacy
- Oakhurst, CA
- NPI 1144317496
-
- Community/Retail Pharmacy
- El Dorado Hills, CA
- NPI 1144330804
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1174633820
-
- Community/Retail Pharmacy
- South Lake Tahoe, CA
- NPI 1215039607
-
- Community/Retail Pharmacy
- Oroville, CA
- NPI 1255441929
-
- Community/Retail Pharmacy
- Jackson, CA
- NPI 1285744946
-
- Community/Retail Pharmacy
- Fair Oaks, CA
- NPI 1306948799
-
- Community/Retail Pharmacy
- Pleasanton, CA
- NPI 1356451025
-
- Community/Retail Pharmacy
- Ukiah, CA
- NPI 1366552028
-
- Community/Retail Pharmacy
- Modesto, CA
- NPI 1396944872
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Benicia, CA
- NPI 1124610530
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": "1433376000000",
"number": "1376653030",
"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": "916-373-6146",
"fax_number": "916-372-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 SOUTHAMPTON RD",
"city": "BENICIA",
"state": "CA",
"postal_code": "945101907",
"telephone_number": "707-746-5565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALEYS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2015-06-04",
"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": "PHY53523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376653030",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0578813",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.