Active NPI
Ravi Timbawala, PHARM.D.
- Pharmacist
- Rialto, CA
National Provider Identifier
1811454929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73881
- Practice address
- 720 E Foothill Blvd
Rialto, CA 92376-5265 - Phone
- (909) 236-7916
- NPI assigned
- Feb 25, 2019
- Last updated
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73881 | CA | Primary |
Addresses
Primary practice location
720 E Foothill Blvd
Rialto, CA 92376-5265
Mailing address
720 E Foothill Blvd
Rialto, CA 92376-5265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shree Pharmacy Inc | Current | Accepting new patients |
Locations
720 E Foothill Blvd
Rialto, CA 92376
Phone (909) 236-7916
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1811454929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765265",
"telephone_number": "909-236-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBAWALA",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.