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RANDALLS FOOD & DRUGS LP NPI 1477827673


NPI Information

NPI: 1477827673
Provider Name: RANDALLS FOOD & DRUGS LP

Doing Business As: RANDALLS PHARMACY #2987

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D2050437

Address:
5145 N FM 620
SUITE A
AUSTIN, TX
ZIP 78732
Phone: (512) 266-1392
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RANDALLS FOOD & DRUGS LP is a community/retail pharmacy pharmacy in Austin, 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 1477827673. The provider is registered as an organization entity type.
The provider Is Doing Business As Randalls Pharmacy #2987.

The provider's business location address is:

5145 N FM 620
SUITE A
AUSTIN, TX
ZIP 78732-815
Phone: (512) 266-1392
Fax: (512) 266-4796

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

The CLIA number assigned to this NPI record is 45D2050437 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 1/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy24849TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1466806MEDICAIDTEXAS
25905306OTHERTEXASNCPDP

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: 4/28/2024

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