NPIMap

Organization Active NPI

Raleys of New Mexico Inc

  • Community/Retail Pharmacy
  • Rio Rancho, NM
National Provider Identifier
1932219607
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RALEYS OF NEW MEXICO INC
Practice address
3301 Southern Blvd SE
Rio Rancho, NM 87124-2085
Phone
(505) 891-0895
Fax
(505) 892-3238
NPI assigned
Aug 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Flint Pendergraft, PHARMD
Title
VP Pharmacy and Hli
Phone
(916) 373-6146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00002360 NM
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3301 Southern Blvd SE
Rio Rancho, NM 87124-2085

Mailing address

3301 Southern Blvd SE
Rio Rancho, NM 87124-2085

Other identifiers 1

IdentifierTypeStateIssuer
3210565OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Raleys of New Mexico Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3301 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 891-0895

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": "1757548800000",
    "number": "1932219607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242085",
            "telephone_number": "505-891-0895",
            "fax_number": "505-892-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEYS OF NEW MEXICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "FLINT",
        "authorized_official_title_or_position": "VP PHARMACY AND HLI",
        "authorized_official_telephone_number": "916-373-6146",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "PH00002360",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3210565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.