Individual provider Active NPI

Radha Bhupati Raju

  • Pharmacist
  • West Covina, CA
National Provider Identifier
1831433374
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH50064 Issued in CA
Practice address
3670 S Nogales St
West Covina, CA 91792-2714
Phone
(626) 912-7031
NPI assigned
Nov 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH50064 CA Primary

Addresses

Primary practice location

3670 S Nogales St
West Covina, CA 91792-2714

Mailing address

19359 Discovery PL
Rowland Heights, CA 91748-2356
Phone (909) 869-5695

Other practice location 1

12059 Central Ave
Rite Aid Pharmacy
Chino, CA 91710-1908
Phone (909) 627-4012

Other identifiers 1

IdentifierTypeStateIssuer
RPH50064OtherCAPHARMACIST

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

State licenses

LicenseStateTypeSpecialty
RPH50064CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Sep 4, 2022 Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1831433374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19359 DISCOVERY PL",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482356",
            "telephone_number": "909-869-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S NOGALES ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922714",
            "telephone_number": "626-912-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12059 Central Ave",
            "address_2": "Rite Aid Pharmacy",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917101908",
            "country_code": "US",
            "telephone_number": "909-627-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHUPATI RAJU",
        "first_name": "RADHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH50064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "RPH50064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.