Individual provider Active NPI

Rafik Ramy Riad Rizk Boctor, RPH

  • Pharmacist
  • Orange, CA
National Provider Identifier
1841067907
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH83587 Issued in CA
Practice address
132 S Anita Dr Ste 210
Orange, CA 92868-3317
Phone
(877) 778-0318
Fax
(877) 778-0399
NPI assigned
Dec 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH83587 CA Primary
Pharmacist 183500000X 68003 TX
Pharmacist 183500000X 5302415008 MI
Pharmacist 183500000X PD16437 AR

Addresses

Primary practice location

132 S Anita Dr Ste 210
Orange, CA 92868-3317

Mailing address

3395 Michelson Dr Apt 1406
Irvine, CA 92612-4445
Phone (909) 969-0406

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
68003TXMDSocial Worker
PD16437ARMDPharmacist
RPH83587CAMDPharmacist
5302415008MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1841067907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 MICHELSON DR APT 1406",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124445",
            "telephone_number": "909-969-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S ANITA DR STE 210",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683317",
            "telephone_number": "877-778-0318",
            "fax_number": "877-778-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCTOR",
        "first_name": "RAFIK RAMY RIAD RIZK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH83587",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68003",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302415008",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.