RANDALLS FOOD & DRUGS LP (NPI# 1134158199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134158199 |
| Entity Type | Organization |
| Organization Name | RANDALLS FOOD & DRUGS LP |
| Other Organization Name | TOM THUMB PHARMACY #1786 |
| Practice Address |
4215 S Carrier Pkwy Grand Prairie TX 75052-3203 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9722667056 |
| Practice Fax Number | 9722667087 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS) |
| Authorized Official Telephone | 2083953906 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAFEWAY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 22116 | TX | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464783 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4517542 | 01 |
| Other Name | Type Code |
|---|---|
| TOM THUMB PHARMACY #1786 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464987 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2727 Live Oak St, Dallas, TX 75204-5729 | 2020-07-09 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1750830550 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 3441 Lakeline Blvd, Leander, TX 78641-5007 | 2016-09-22 |
| 1922431386 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5550 F.m. 423, Frisco, TX 75036-8900 | 2013-08-20 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| 1922322098 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 3070 N Goliad, Rockwall, TX 75087 | 2010-03-18 |
| 1437180254 | Randalls Food & Drugs Lp | Pharmacy | 2301 Justin Rd, Flower Mound, TX 75028-3777 | 2006-07-06 |
| 1841222676 | Randalls Food & Drugs Lp | Pharmacy | 302 S Park Blvd, Grapevine, TX 76051-7835 | 2006-07-06 |
| Street Address |
4215 S CARRIER PKWY |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587250 | Sheena Nguyen | Pharmacist | 4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | 2020-08-07 |
| 1215240692 | Trina Raymond | Pharmacist | 4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | 2010-07-14 |
| 1730491275 | Son Pham | Pharmacist | 4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | 2010-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644196 | Kenneth Chike Nwankwo | Pharmacy | 2817 Garden Oaks Pl, Grand Prairie, TX 75052-4402 | 2019-02-09 |
| 1528549557 | Wellfort Corporation | Pharmacy | 3950 S Carrier Pkwy Ste 100, Grand Prairie, TX 75052-6671 | 2018-08-27 |
| 1134669070 | Mayfield Pharmacy Inc | Pharmacy | 2451 Robinson Rd Ste 200, Grand Prairie, TX 75051-3978 | 2017-02-25 |
| 1205243086 | Zing Pharmacy LLC | Pharmacy | 2615 W Pioneer Pkwy Ste 139, Grand Prairie, TX 75051-3618 | 2014-07-14 |
| 1407290356 | Premier One Pharma Inc. | Pharmacy | 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, TX 75052 | 2013-04-22 |
| 1083775159 | Sunrise Care Inc | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6016 | 2006-12-13 |
| 1619055597 | Minyard Food Stores Inc. | Pharmacy | 2500 S Carrier Pkwy, Grand Prairie, TX 75052-5016 | 2006-11-01 |
| 1508960394 | Cvs Pharmacy Inc | Pharmacy | 810 W Pioneer Pkwy, Grand Prairie, TX 75051-4708 | 2006-09-12 |
| 1568409951 | Walgreen Co. | Pharmacy | 4103 S Great Southwest Pkwy, Grand Prairie, TX 75052-3801 | 2006-06-02 |
| 1760904932 | Ideal Specialty Pharmacy, LLC | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6018 | 2017-07-10 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on RANDALLS FOOD & DRUGS LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.