Provider Type Icon

RALEYS NPI 1891853826


NPI Information

NPI: 1891853826
Provider Name: RALEYS
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
4255 E MORADA LN
STOCKTON, CA
ZIP 95212
Phone: (209) 956-9444
Get Directions

RALEYS is a compounding pharmacy pharmacy in Stockton, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. RALEYS NPI is 1891853826. The provider is registered as an organization entity type.

The provider's business location address is:

4255 E MORADA LN
STOCKTON, CA
ZIP 95212-600
Phone: (209) 956-9444

The provider's authorized official is Helen S Singmaster .
The authorized official title is Secretary and has the following contact phone number (916) 373-6394.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyPHY53500CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891853826MEDICAIDCALIFORNIA
25624639OTHERNCPDP
3FLU11450FMEDICARE PIN
4P00288273MEDICARE PIN
50216380100MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.