Active NPI
Shivani Raina
- Pharmacist
- Jackson, CA
National Provider Identifier
1376883827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67458
- Practice address
- 12110 Industry Blvd
Jackson, CA 95642-9373 - Phone
- (209) 257-0786
- NPI assigned
- Feb 20, 2013
- Last updated
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67458 | CA | Primary |
Addresses
Primary practice location
12110 Industry Blvd
Jackson, CA 95642-9373
Mailing address
5912 Snow Leopard Cir
Elk Grove, CA 95757-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67458 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1376883827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 SNOW LEOPARD CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957572600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12110 INDUSTRY BLVD",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429373",
"telephone_number": "209-257-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINA",
"first_name": "SHIVANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
- Erin Marie Pressley
- Marissa Lee Proverbs, PA-C
- Mary Catherine Pulskamp, MFT
- James Quirie
- Radiological Associates of Sacramento Medical Group Inc
- Brian Edward Raines, PSYD
- McKenzie Sierra Rainwater
- Raleys
- Danuta Eliza Chojczak Ramaley, LCSW
- Ray Properties Kit Carson Inc. (Kit Carson Nursing and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.