Giriraj Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55475 Issued in CA

Legal business name

GIRIRAJ CORPORATION

Doing business as

Super Care Pharmacy

Practice address

24825 Alessandro Blvd Ste 2
Moreno Valley, CA 92553-5851

Phone

(951) 243-2530

Fax

(951) 243-2554

NPI assigned

Feb 23, 2017

Last updated

Apr 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chirag Rakholia

Title

President

Phone

(951) 243-2530

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SUPER CARE PHARMACY Doing business as

Locations

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.

• Avanitkumar Rameshbhai Rokad

  • Pharmacist
  • Moreno Valley, CA
  • NPI 1417447178
  NPD (past)

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1740729763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24825 ALESSANDRO BLVD STE 2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535851",
            "telephone_number": "951-243-2530",
            "fax_number": "951-243-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24825 ALESSANDRO BLVD STE 2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535851",
            "telephone_number": "951-243-2530",
            "fax_number": "951-243-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRIRAJ CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "RAKHOLIA",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-243-2530"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55475",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPER CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendal Courtney Gill, WHNP-BC
• Navkiranjit Kaur Gill
• Surjit Gill, RCP
• Heather Joan Gillespie, M.D.
• Mariam Gilmore, D.O.
• Giriraj Corporation (Super Care Pharmacy)
• Joan Givens
• Kimberly Lynn Glass
• Eva Maria Glenn Lecea, MD
• Glory2Glorie Births LLC

• Community/Retail Pharmacy in Moreno Valley, CA
• Providers in Moreno Valley, 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 Apr 16, 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.