| NPI | 1083650618 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-21 |
| Last Updated | 2018-10-02 |
| Authorized Official | Tiffany Eliopulos Assistant Manager, Enrollments Phone: 2083953906 |
| Mailing Address | 250 E Parkcenter Blvd Boise, ID 83706-3940 United States Phone: (208) 395-3920 | Fax: (623) 336-6896 📍 View Map |
| Primary Practice Address | 210 E Pleasant Run Rd Desoto, TX 75115-3938 United States Phone: (972) 274-7008 | Fax: (972) 274-7012 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 4596473 | Other ID Number-Commercial Number |
| MEDICAID | TX | 463878 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | TX | 22094 |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1083650618
Randalls Food & Drugs Lp is an organization registered in the CMS NPPES NPI Registry with NPI number 1083650618. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Desoto, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083650618?
NPI 1083650618 belongs to Randalls Food & Drugs Lp, a Pharmacy, Community/Retail Pharmacy in Desoto, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083650618 active?
The current status of NPI 1083650618 in the NPPES registry is Active. The record was last updated on 2018-10-02.
What specialty is NPI 1083650618?
NPI 1083650618 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083650618?
You can verify NPI 1083650618 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083650618?
The primary practice address on file for NPI 1083650618 is 210 E Pleasant Run Rd, Desoto, TX 75115-3938. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083650618 issued?
NPI 1083650618 was first issued (enumerated) on 2006-06-21. The NPPES record was last updated on 2018-10-02.
Practice Location Map
Randalls Food & Drugs Lp is located at 210 E Pleasant Run Rd, Desoto, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Randalls Food & Drugs Lp. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083650618. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 22094 | TX |