NPIMap

Organization Active NPI

Aracola, Inc

Doing business as Riley's Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1407915606
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 55065 Issued in CA
Legal business name
ARACOLA, INC
Doing business as
Riley's Pharmacy
Practice address
411 N Central Ave
Suite 100
Glendale, CA 91203-2081
Phone
(818) 244-1195
Fax
(818) 242-2836
NPI assigned
Dec 6, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Ashot Arakelian, RPHNPI 1912197468
Title
President/Pharmacist in Charge
Phone
(818) 244-1195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 55065 CA Primary

Addresses

Primary practice location

411 N Central Ave
Suite 100
Glendale, CA 91203-2081

Mailing address

411 N Central Ave
Suite 100
Glendale, CA 91203-2081
Phone (818) 244-1195

Other identifiers 1

IdentifierTypeStateIssuer
1407915606MedicaidCA

Other names 1

  • Riley's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053801 CA DME Supplier - Pharmacy 5496876815 Practice locations: Glendale, CA
O20241216001939 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5496876815 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Aracola Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407915606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032081",
            "telephone_number": "818-244-1195",
            "fax_number": "818-242-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032081",
            "telephone_number": "818-244-1195",
            "fax_number": "818-242-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARACOLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ARAKELIAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "818-244-1195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 55065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407915606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riley's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.