Organization Active NPI

North Rialto Shopping Center Drug Inc

Doing business as North Rialto Drug

  • Community/Retail Pharmacy
  • Rialto, CA
National Provider Identifier
1770695769
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47342 Issued in CA
Legal business name
NORTH RIALTO SHOPPING CENTER DRUG INC
Doing business as
North Rialto Drug
Practice address
531 E Foothill Blvd
Rialto, CA 92376-5223
Phone
(909) 875-2131
Fax
(909) 875-2281
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Amir ZakiNPI 1437610532
Title
Pic
Phone
(909) 875-2131

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY47342 CA Primary

Addresses

Primary practice location

531 E Foothill Blvd
Rialto, CA 92376-5223

Mailing address

531 E Foothill Blvd
Rialto, CA 92376
Phone (909) 875-2131

Other identifiers 2

IdentifierTypeStateIssuer
PHA473420MedicaidCA
2076836OtherPK

Other names 1

  • NORTH RIALTO DRUG Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930091610 CA DME Supplier - Pharmacy 8729199393 Practice locations: Rialto, CA

National Provider Directory

National Provider Directory
Tax ID family
North Rialto Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

531 E Foothill Blvd
Rialto, CA 92376
Phone (909) 875-2131

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1770695769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-875-2131",
            "fax_number": "909-875-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765223",
            "telephone_number": "909-875-2131",
            "fax_number": "909-875-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIALTO SHOPPING CENTER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "909-875-2131"
    },
    "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": "CA",
            "license": "PHY47342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA473420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH RIALTO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.