RAAFAT GEORGE GERGES (NPI# 1225334717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225334717 |
| Entity Type | Individual |
| Full Name | RAAFAT GEORGE GERGES |
| Credential | PHARMACIST |
| Practice Address |
12730 Heacock St Suite 1 Moreno Valley CA 92553-3040 |
| Practice Telephone | 9514851234 |
| Practice Fax Number | 9514853233 |
| Mailing Telephone | 9514851234 |
| Mailing Fax Number | 9514853233 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 45091 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA473390 | 05 |
| Street Address |
12730 HEACOCK ST SUITE 1 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397496 | Logihealth | Clinic/Center | 12730 Heacock St, Suite #4, Moreno Valley, CA 92553-3040 | 2007-01-03 |
| 1760869770 | Integralife Health & Trauma Institute, LLC | Counselor | 12730 Heacock St, Suite 7, Moreno Valley, CA 92553-3070 | 2015-04-28 |
| 1801224233 | Larry Machmud | Physical Medicine & Rehabilitation | 12730 Heacock St, 4b, Moreno Valley, CA 92553-3070 | 2013-10-22 |
| 1063663656 | Family Health Inc | Pediatrics | 12730 Heacock St, #4, Moreno Valley, CA 92553-3040 | 2008-10-01 |
| 1174796957 | Chanel Alecia Serano | Marriage & Family Therapist | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2008-04-11 |
| 1902087778 | Blessing A. Okoro Rellias | Counselor | 12730 Heacock St, Suite #7, Moreno Valley, CA 92553-3070 | 2007-11-20 |
| 1619165271 | Humanistic Counseling Center | Community/Behavioral Health | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2007-10-09 |
| 1902093487 | April Marie Kiecolt | Student in an Organized Health Care Education/Training Program | 12730 Heacock St, Moreno Valley, CA 92553-3040 | 2007-09-28 |
| 1447396874 | Melissa Christine Darnell | Marriage & Family Therapist | 12730 Heacock St, Suite 3, Moreno Valley, CA 92553-3040 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687518 | Ambreen Maqsood | Pharmacist | 21729 Golden Oaks Dr, Moreno Valley, CA 92557-8517 | 2020-01-05 |
| 1568931319 | William Cunningham | Pharmacist | 15659 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-11-21 |
| 1851881627 | Robert Turner | Pharmacist | 12721 Moreno Beach Ddrive, Moreno Valley, CA 92555-1705 | 2018-05-16 |
| 1578002614 | Eden Rose Santos | Pharmacist | 27200 Iris Ave # Mob2, Moreno Valley, CA 92555-4803 | 2017-02-22 |
| 1538605506 | Edrian Calago | Pharmacist | 16478 Spirit Rd, Moreno Valley, CA 92555-3322 | 2017-01-13 |
| 1386091825 | Stephanie Dao | Pharmacist | 15025 Perris Blvd, Moreno Valley, CA 92551-4567 | 2016-05-14 |
| 1750753679 | Joanne Thanh-truc Nguyen | Pharmacist | 12815 Heacock St (moreno Valley Mob/1st Floor Pharmacy), Moreno Valley, CA 92553-3116 | 2015-10-30 |
| 1649652488 | Alex Nguyen | Pharmacist | 25418 Ramblewood Ct, Moreno Valley, CA 92553-4411 | 2015-06-28 |
| 1245638691 | Matthew Paul Sierra | Pharmacist | 25070 Alessandro Blvd, Moreno Valley, CA 92553-4313 | 2014-12-17 |
| 1386072072 | Kim Tran | Pharmacist | 25928 Brodiaea Ave, Moreno Valley, CA 92553-4911 | 2013-10-16 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on RAAFAT GEORGE GERGES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.