Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANDALLS FOOD & DRUGS LP

Doing business as

Tom Thumb Pharmacy #1854

Practice address

4301 Cross Timbers Rd.
Flowermound, TX 75022

Phone

(972) 691-2151

Fax

(972) 691-2195

NPI assigned

Oct 11, 2012

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SAFEWAY INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Eliopulos

Title

Assistant Manager, Enrollments

Phone

(208) 395-3906

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tom Thumb Pharmacy #1854 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Part of

Safeway

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1013269273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CROSS TIMBERS RD.",
            "city": "FLOWERMOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "972-691-2151",
            "fax_number": "972-691-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY INC.",
        "enumeration_date": "2012-10-11",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "ELIOPULOS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ASSISTANT MANAGER, ENROLLMENTS",
        "authorized_official_telephone_number": "208-395-3906"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom Thumb Pharmacy #1854",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tom Thumb Pharmacy #1854",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair Ramirez, AGACNP
• Robert C Ramirez, D.C.
• Susana Nadine Ramirez, MT118041
• Kevin Ramos
• Maria Rancapero
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #3652)
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #3575)
• Randy W. Butler D.C.P.a. (Butler Chiropractic Clinic)
• Breen Ann Rashid
• Mousumy Khan Rashid, M.D.

• Community/Retail Pharmacy in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.