Raley'S Arizona LLC
Raley'S Arizona LLC is a healthcare organization registered as Community/Retail Pharmacy in Mesa, AZ, holding Type 2 (organization) NPI 1164537189 since 2006. The authorized official on file is Mike Mckinley, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164537189 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Raley'S Arizona LLC |
| Other name | <Unavail> |
| Practice address | 1133 N. ELLSWORTH, Mesa, AZ, 85207 |
| Phone | 4809843431 |
| Fax | 4809843689 |
| Enumeration date | 2006-08-20 |
| Last updated in NPPES | 2022-04-18 |
Authorized official
| Name | Mike Mckinley |
|---|---|
| Title | Director of Pharmacy |
| Phone | 4808955372 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | Y007130 | AZ |
| 3336C0003X | Community/Retail Pharmacy | Secondary | Y007130 | AZ |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991871 | Other | — | PK |
| 880684 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Raley'S Arizona LLC NPI: 1164537189 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1133 N. ELLSWORTH, Mesa, AZ, 85207
Verify this record
Cross-check NPI 1164537189 against the authoritative CMS record: view Raley'S Arizona LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Raley'S Arizona LLC?
What is the NPI number for Raley'S Arizona LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-18.