Active NPI
Randall Lloyd Box, P.D.
- Pharmacist
- Marietta, GA
National Provider Identifier
1013904408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033797
- Practice address
- 2580 Sandy Plains Rd
Marietta, GA 30066-5798 - Phone
- (770) 565-5681
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6934 | AR | |
| Pharmacist | 183500000X | RPH033797 | GA | Primary |
Addresses
Primary practice location
2580 Sandy Plains Rd
Marietta, GA 30066-5798
Mailing address
2580 Sandy Plains Rd
Marietta, GA 30066-5798
Phone (770) 565-5681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6934 | AR | MD | Pharmacist |
| RPH033797 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nic-Hil Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2818 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 571-4545
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1013904408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665798",
"telephone_number": "770-565-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665798",
"telephone_number": "770-565-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "RANDALL",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "P.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "6934",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.