NPIMap

Organization Active NPI

Ralphs Grocery Co

  • Community/Retail Pharmacy
  • Redondo Beach, CA
National Provider Identifier
1447644000
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPH 58038 Issued in CA
Legal business name
RALPHS GROCERY CO
Practice address
102 S Irena Ave Apt 1
Redondo Beach, CA 90277-3426
Phone
(310) 378-5214
Fax
(310) 378-7247
NPI assigned
Mar 22, 2015
Last updated
Mar 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Authorized official

Name
Dr. Janet M Bautista, DOCTOR OF PHARMACYNPI 1922689173
Title
Pharmacist/Pharmacymanager
Phone
(310) 378-5214

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 RPH 58038 CA Primary

Addresses

Primary practice location

102 S Irena Ave Apt 1
Redondo Beach, CA 90277-3426

Mailing address

102 S Irena Ave Apt 1
Redondo Beach, CA 90277-3426
Phone (310) 378-5214

Other identifiers 1

IdentifierTypeStateIssuer
1720003320MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Ralphs Store 3280 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

Practitioners & affiliated clinicians

Practitioners 1

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": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426982400000",
    "number": "1447644000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S IRENA AVE APT 1",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773426",
            "telephone_number": "310-378-5214",
            "fax_number": "310-378-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S IRENA AVE APT 1",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773426",
            "telephone_number": "310-378-5214",
            "fax_number": "310-378-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPHS GROCERY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST/PHARMACYMANAGER",
        "authorized_official_telephone_number": "310-378-5214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "RPH 58038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720003320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.