DANIEL RANDOLPH (NPI# 1548583230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548583230 |
| Entity Type | Individual |
| Full Name | DANIEL RANDOLPH |
| Other Name | DAN RANDOLPH |
| Credential | RPH. |
| Practice Address |
4915 Dixie Hwy Louisville KY 40216-2501 |
| Practice Telephone | 5024489726 |
| Practice Fax Number | 5024484991 |
| Mailing Telephone | 5024489726 |
| Mailing Fax Number | 5024484991 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26015022A | IN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 011919 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838992 | Daniel Lee Randolph | Family Medicine | 9631 N Nevada St Ste 100, Spokane, WA 99218-1134 | 2005-08-11 |
| Street Address |
4915 DIXIE HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275567091 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2006-07-10 |
| 1003426586 | Phon Cun | Pharmacist | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2020-08-09 |
| 1437767340 | Cheryl Denise Shunnarah | Nurse Practitioner | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2020-07-16 |
| 1669004545 | Wesley Palmer | Pharmacist | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2020-02-07 |
| 1952932386 | Allison M Minor | Pharmacist | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2020-02-04 |
| 1518507771 | Elizabeth Evola | Pharmacist | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2020-01-15 |
| 1073071999 | Emily M Wilson | Nurse Practitioner | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2019-03-10 |
| 1528581618 | Adrea N. O'neil | Nurse Practitioner | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2017-07-20 |
| 1396294203 | Kiosk Medicine Kentucky LLC | Physician Assistant | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2016-10-04 |
| 1881869170 | Elizabeth T Byers | Pharmacist | 4915 Dixie Hwy, Louisville, KY 40216 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1699372821 | Patricia Bentz | Pharmacist | 12803 Dove Lake Dr, Louisville, KY 40299-8341 | 2020-10-01 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1922619840 | Keaton Creed | Pharmacist | 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 | 2020-08-13 |
| 1588274195 | Katrina Kuban | Pharmacist | 900 Baxter Ave, Louisville, KY 40204-2047 | 2020-08-07 |
| 1144830829 | Madion Olivia Poteet | Pharmacist | 3814 Breckenridge Ln, Louisville, KY 40218-2881 | 2020-08-06 |
| 1225647159 | Mary Beth Ecken | Pharmacist | 1839 Lauderdale Rd, Louisville, KY 40205-1623 | 2020-07-27 |
| 1851917793 | Leanne Nieters | Pharmacist | 2303 Manchester Rd, Louisville, KY 40205-3045 | 2020-06-16 |
| 1568082295 | Amy Gostomski | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-04-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
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| 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.