Reliance Imperial Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50953 Issued in CA

Legal business name

RELIANCE IMPERIAL PHARMACY LLC

Practice address

801 E Birch St
Ste # 4
Calexico, CA 92231-5925

Phone

(760) 768-6000

Fax

(760) 768-6006

NPI assigned

Apr 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Brahmaji Valiveti, RPH

Title

Member/Owner

Phone

(760) 768-6000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FARMACIA DEL PUEBLO Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1487912333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E BIRCH ST",
            "address_2": "STE # 4",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922315925",
            "telephone_number": "760-768-6000",
            "fax_number": "760-768-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BIRCH ST",
            "address_2": "STE # 4",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922315925",
            "telephone_number": "760-768-6000",
            "fax_number": "760-768-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE IMPERIAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "VALIVETI",
        "authorized_official_first_name": "BRAHMAJI",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "760-768-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50953",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY50953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DEL PUEBLO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Yvette Ponce
• Erica Aimee Ramirez, LMFT
• Manuel Oswaldo Ramirez, PHYSICIAN ASSISTANT
• Nickolas Andrew Ramirez
• Reactivate Physical Therapy Inc
• Reliance Imperial Pharmacy LLC
• Retina Institute of California Medical Group
• Jorge Reyes
• Albert E Richardson II, DDS
• Nelson Omar Rios, NP

• Community/Retail Pharmacy in Calexico, CA
• Providers in Calexico, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.