RALPHS PHARMACY
NPI 1386669984
Pharmacy - Community/Retail Pharmacy in Canoga Park, CA

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since July 13, 2006CLIA 05D0977222 · Waiver

22333 SHERMAN WAY, CANOGA PARK, CA 91303(818) 713-8014(818) 713-9925 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ralphs Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPHS PHARMACY (NPI 1386669984) is a healthcare organization registered as a community/retail pharmacy in Canoga Park, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1386669984

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameRALPHS GROCERY COMPANY

Location Address22333 SHERMAN WAYCanoga Park, CA 91303-1050

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(818) 713-8014

Fax(818) 713-9925

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateJuly 13, 2006

Last NPPES UpdateMay 16, 2016

✔ NPI 1386669984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY44854

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

22333 SHERMAN WAY, Canoga Park, CA 91303

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Other Names 1

Doing Business AsRalphs Pharmacy

Other Identifiers 4

Medicare NSC3953350055

Other1995580Pk

MedicaidPHA448540CA

Medicare PINCH490A

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0977222

Ralphs Pharmacy #721 Mobile Clia · Canoga Park, CA

Active · expires Aug 21, 2026

CLIA Number05D0977222

Laboratory TypePharmacy

Certificate Effective DateAugust 22, 2024

Certificate Expiration DateAugust 21, 2026

Laboratory DirectorKenneth W. Patric MD

Laboratory Phone(818) 713-8014

Laboratory LocationRalphs Pharmacy #721 Mobile Clia22333 Sherman Way, Canoga Park, CA 91303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

154 services152 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

144 services142 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

24 services24 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 patients

Adm sarscv2 bvl 30mcg/.3ml a 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

21 services21 patients

Adm sarscv2 bvl 50mcg/.5ml a 0134A

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

19 services19 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Ralphs Pharmacy #721 carries, from the Medicare DMEPOS supplier directory.

Ralphs Pharmacy #721

DMEPOS supplier · Canoga Park, CAOperated by Ralphs Grocery Company

✔

Accepts Medicare assignment

Ralphs Pharmacy #721 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20515847

Medicare Participant SinceFebruary 25, 2013

Supplier Location22333 Sherman WayCanoga Park, CA 91303

Phone(818) 713-8014

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SULMAS MOHEBI PHARM. D.

Pharmacist