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 1639281629 since 2006. The authorized official on file is Mike Mckinley, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639281629 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Raley'S Arizona LLC |
| Other name | <Unavail> |
| Practice address | 9925 E BASELINE RD, Mesa, AZ, 85209 |
| Phone | 4803572634 |
| Fax | 4803572423 |
| Enumeration date | 2006-08-31 |
| 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 | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | Y004020 | AZ |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352396 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 894750 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Raley'S Arizona LLC NPI: 1639281629 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 9925 E BASELINE RD, Mesa, AZ, 85209
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063900025 | Jane Pickering | Individual | Hearing Instrument Specialist | Mesa, AZ |
| 1437755949 | James Michaud | Individual | Pharmacist | Mesa, AZ |
| 1871189563 | Michael Rangel | Individual | Pharmacist | Mesa, AZ |
| 1184216830 | Joel Milton | Individual | Pharmacist | Mesa, AZ |
Verify this record
Cross-check NPI 1639281629 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
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Where is Raley'S Arizona LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-18.