Organization Active NPI

Rafiq LTD LLC

Doing business as Carmichael Village Pharmacy

  • Community/Retail Pharmacy
  • Carmichael, CA
National Provider Identifier
1548625296
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAFIQ LTD LLC
Doing business as
Carmichael Village Pharmacy
Practice address
6633 Coyle Ave Ste 1
Carmichael, CA 95608-6346
Phone
(916) 436-4731
Fax
(916) 436-4958
NPI assigned
Dec 23, 2015
Last updated
Apr 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Authorized official

Name
Saira RafiqNPI 1649635277
Title
Manager / Pic
Phone
(916) 436-4731

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

6633 Coyle Ave Ste 1
Carmichael, CA 95608-6346

Mailing address

6633 Coyle Ave
Ste 1
Carmichael, CA 95608-6346
Phone (916) 436-4731

Other identifiers 1

IdentifierTypeStateIssuer
2156197OtherPK

Other names 1

  • Carmichael Village Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160822001436 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7911292511 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carmichael, CA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

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": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555200000000",
    "number": "1548625296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 COYLE AVE",
            "address_2": "STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086346",
            "telephone_number": "916-436-4731",
            "fax_number": "916-436-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 COYLE AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086346",
            "telephone_number": "916-436-4731",
            "fax_number": "916-436-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIQ LTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-04-14",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "MANAGER / PIC",
        "authorized_official_telephone_number": "916-436-4731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmichael Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmichael Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.