NPIMap

Organization Active NPI

Raleys

  • Community/Retail Pharmacy
  • Citrus Heights, CA
National Provider Identifier
1831209592
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53492 Issued in CA
Legal business name
RALEYS
Practice address
7847 Lichen Drive
Citrus Heights, CA 95621-1074
Phone
(916) 722-1755
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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 PHY53492 CA Primary

Addresses

Primary practice location

7847 Lichen Drive
Citrus Heights, CA 95621-1074

Mailing address

500 West Capitol Ave
West Sacramento, CA 95605-2696
Phone (916) 373-6394

Other identifiers 2

IdentifierTypeStateIssuer
1831209592MedicaidCA
0571922OtherNABP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040831000246 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365417722 This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, CA; Petaluma, CA; S Lake Tahoe, CA; Rohnert Park, CA; Rohnert, CA; Redding, CA; Red Bluff, CA; Pleasanton, CA…
O20081120000206 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365417722 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Sacramento, CA; Sacramento, CA; Modesto, CA; Galt, CA; Citrus Heights, CA; Loomis, CA; Auburn, CA; Carmichael, CA
O20100930099215 CA DME Supplier - PharmacyDME Supplier - Grocery Store 2365417722 Practice locations: Citrus Heights, CA

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Raley'S Pharmacy #2397847 Lichen Drive, Citrus Heights, CA 95621-1074(916) 722-1755 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Mail Order) Does not accept assignmentParticipating since Jan 1, 1998

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 18

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

View all 18

Locations

7847 Lichen Dr
Citrus Hts, CA 95621
Phone (916) 722-1755

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1831209592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST CAPITOL AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052696",
            "telephone_number": "916-373-6394",
            "fax_number": "916-372-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7847 LICHEN DRIVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211074",
            "telephone_number": "916-722-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-01",
        "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": "CA",
            "license": "PHY53492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831209592",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0571922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.