Raafat George Gerges

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47339 Issued in CA

Legal business name

RAAFAT GEORGE GERGES

Doing business as

Daniel's Pharmacy

Practice address

12730 Heacock St Ste 1
Moreno Valley, CA 92553-3040

Phone

(951) 485-1234

Fax

(951) 485-3233

NPI assigned

Jun 13, 2006

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raafat GergesNPI 1225334717

Title

Owner and Pic

Phone

(951) 776-2015

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DANIEL'S PHARMACY Doing business as

Locations

Practitioners 1

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.

• Raafat George Gerges, PHARMACIST

  • Pharmacist
  • Moreno Valley, CA
  • NPI 1225334717
  Authorized official Same address or phone

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1932142718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST STE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533040",
            "telephone_number": "951-485-1234",
            "fax_number": "951-485-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST STE 1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533040",
            "telephone_number": "951-485-1234",
            "fax_number": "951-485-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAFAT GEORGE GERGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "951-776-2015"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA473390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5617052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIEL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.