Raley'S Arizona LLC
Raley'S Arizona LLC is a healthcare organization registered as Community/Retail Pharmacy in Tucson, AZ, holding Type 2 (organization) NPI 1720190713 since 2006. The authorized official on file is Mike Mckinley, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720190713 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Raley'S Arizona LLC |
| Other name | <Unavail> |
| Practice address | 1221 W IRVINGTON RD, Tucson, AZ, 85714 |
| Phone | 5204346921 |
| Fax | 5204346923 |
| 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 | Y003886 | AZ |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827553 | Medicaid | AZ | — |
| 0327999 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Raley'S Arizona LLC NPI: 1720190713 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1221 W IRVINGTON RD, Tucson, AZ, 85714
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1912322322 | Derek Dindal | Individual | Pharmacist | Tucson, AZ |
| 1255014163 | Destiny Ortiz | Individual | Community/Retail Pharmacy | Tucson, AZ |
Verify this record
Cross-check NPI 1720190713 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.