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RALPHS PHARMACY
NPI 1629086830
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since August 03, 2006CLIA 05D2003009 · Waiver
3345 SPORTS ARENA BLVD, SAN DIEGO, CA 92110(619) 225-1631(619) 225-1642 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ralphs Pharmacy NPPES

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

RALPHS PHARMACY (NPI 1629086830) is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1629086830
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRALPHS GROCERY COMPANY
Location Address3345 SPORTS ARENA BLVDSan Diego, CA 92110-4567
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(619) 225-1631
Fax(619) 225-1642
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateAugust 3, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1629086830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY48204
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
3345 SPORTS ARENA BLVD, San Diego, CA 92110
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Other Names 1

Doing Business AsRalphs Pharmacy

Other Identifiers 3

Other2115039Pk
Medicare PINCH490G
Medicare NSC3953350136

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralphs Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100930073435DME · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2003009

Ralphs Pharmacy #201 · San Diego, CA
Active · expires Jan 28, 2028
CLIA Number05D2003009
Laboratory TypePharmacy
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorKenneth W. Patric
Laboratory Phone(619) 222-5818
Laboratory LocationRalphs Pharmacy #2013345 Sports Arena Blvd, San Diego, CA 92110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 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.
103 services102 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.
102 services101 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Ralphs Pharmacy #201 carries, from the Medicare DMEPOS supplier directory.

Ralphs Pharmacy #201

DMEPOS supplier · San Diego, CAOperated by Ralphs Grocery Company
✔

Accepts Medicare assignment

Ralphs Pharmacy #201 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)20516111
Medicare Participant SinceFebruary 25, 2013
Supplier Location3345 Sports Arena BlvdSan Diego, CA 92110
Phone(619) 222-5818
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 4

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

JOHN LEUCK JR. RPH
Pharmacist
3345 SPORTS ARENA BLVD
SAN DIEGO, CA 92110
San Diego County (619) 222-5818
MARK ABOUCHABKI
Pharmacist
3345 SPORTS ARENA BLVD
SAN DIEGO, CA 92110
San Diego County (619) 222-5818
FADI MATLOOB
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3345 SPORTS ARENA BLVD
SAN DIEGO, CA 92110
San Diego County (619) 222-5818
SARAH KAMIL IBRAHIM
Pharmacist
3345 SPORTS ARENA BLVD
SAN DIEGO, CA 92110
San Diego County (619) 222-5818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralphs Grocery Company's NPI number?

The NPI number for Ralphs Grocery Company is 1629086830. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Ralphs Pharmacy.

Where is Ralphs Grocery Company located?

Ralphs Grocery Company is located at 3345 Sports Arena Blvd, San Diego, CA 92110. The listed phone number is (619) 225-1631.

What is Ralphs Grocery Company's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Ralphs Grocery Company enrolled in Medicare?

Yes. Ralphs Grocery Company is registered in the Medicare PECOS enrollment system.

When is Ralphs Grocery Company's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Ralphs Grocery Company accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ralphs Pharmacy #201 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Ralphs Grocery Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2003009) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ralphs Grocery Company accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 39 other insurers list Ralphs Grocery Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralphs Grocery Company was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.