NPIMap

Organization Active NPI

Raleys

  • Community/Retail Pharmacy
  • Fernley, NV
National Provider Identifier
1508355405
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RALEYS
Practice address
1400 State Route 95a N
Fernley, NV 89408
Phone
(775) 575-5065
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Helen S. Singmaster
Title
Secretary
Phone
(916) 373-6394

Specialties & licenses 1

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

Addresses

Primary practice location

1400 State Route 95a N
Fernley, NV 89408

Mailing address

500 W Capitol Ave
West Sacramento, CA 95605-2696
Phone (916) 676-6687

Other names 1

  • Raley's Pharmacy #122 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040830000271 NV Part B Supplier - Mass Immunization (Roster Biller Only) 2365417722 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Incline VLG, NV; Yerington, NV; Tonopah, NV; Sparks, NV; Reno, NV; Carson City, NV; Gardnerville, NV; Fernley, NV
O20190701001709 NV DME Supplier - Pharmacy 2365417722 Practice locations: Fernley, NV

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Raleys 24852 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1508355405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CAPITOL AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052696",
            "telephone_number": "916-676-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE 95A N",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "89408",
            "telephone_number": "775-575-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "SINGMASTER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-373-6394"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raley's Pharmacy #122",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raley's Pharmacy #122",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.