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RANDALLS FOOD & DRUGS LP NPI 1043249006


NPI Information

NPI: 1043249006
Provider Name: RANDALLS FOOD & DRUGS LP

Doing Business As: TOM THUMB PHARMACY # 2643

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2249460

Address:
14280 MARSH LN
ADDISON, TX
ZIP 75001
Phone: (972) 241-4532
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RANDALLS FOOD & DRUGS LP is a community/retail pharmacy pharmacy in Addison, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. RANDALLS FOOD & DRUGS LP NPI is 1043249006. The provider is registered as an organization entity type.
The provider Is Doing Business As Tom Thumb Pharmacy # 2643.

The provider's business location address is:

14280 MARSH LN
ADDISON, TX
ZIP 75001-857
Phone: (972) 241-4532
Fax: (972) 241-4136

The provider's authorized official is Tiffany Eliopulos .
The authorized official title is Assistant Manager, Enrollments and has the following contact phone number (208) 395-3906.

The CLIA number assigned to this NPI record is 45D2249460 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 10/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies22145TEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14517819OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2463776MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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