Healthcare Provider Details

I. General information

NPI: 1033987193
Provider Name (Legal Business Name): RIGAS AND SON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 S MAIN AVE
FALLBROOK CA
92028-3325
US

IV. Provider business mailing address

1104 S MAIN AVE
FALLBROOK CA
92028-3325
US

V. Phone/Fax

Practice location:
  • Phone: 760-645-3880
  • Fax: 760-645-3885
Mailing address:
  • Phone: 760-645-3880
  • Fax: 760-645-3885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTOPHER MICHAEL RIGAS
Title or Position: OWNER, PHARMACIST IN CHARGE
Credential: PHARMD, TTS
Phone: 760-645-3880