Individual provider Active NPI

Shirley Nader Rafaiel

  • Pharmacist
  • Riverside, CA
National Provider Identifier
1417540303
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76814 Issued in CA
Practice address
9194 Magnolia Ave
Riverside, CA 92503-3872
Phone
(951) 977-8617
Fax
(951) 977-8617
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76814 CA Primary

Addresses

Primary practice location

9194 Magnolia Ave
Riverside, CA 92503-3872

Mailing address

9194 Magnolia Ave
Riverside, CA 92503-3872
Phone (951) 977-8617

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

LicenseStateTypeSpecialty
76814CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bahaa Girgis, M.D., Inc CurrentSince Feb 14, 2021 Accepting new patients
3E Pharmacy Inc PastSince Feb 14, 2021 Accepting new patients

Locations

9194 Magnolia Ave
Riverside, CA 92503
Phone (951) 352-2421

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1417540303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033872",
            "telephone_number": "951-977-8617",
            "fax_number": "951-977-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033872",
            "telephone_number": "951-977-8617",
            "fax_number": "951-977-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAIEL",
        "first_name": "SHIRLEY",
        "middle_name": "NADER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.