NPIMap

Organization Active NPI

Randal Riverside Corporation

  • Community/Retail Pharmacy
  • Arlington, TX
National Provider Identifier
1023249794
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26572 Issued in TX
Legal business name
RANDAL RIVERSIDE CORPORATION
Practice address
3360 Matlock Rd Ste 100
Arlington, TX 76015-2907
Phone
(817) 557-3900
Fax
(817) 557-3903
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Praful D Patel, PHARMACIST
Title
Pharmacist-in-Charge
Phone
(214) 457-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26572 TX Primary

Addresses

Primary practice location

3360 Matlock Rd Ste 100
Arlington, TX 76015-2907

Mailing address

3360 Matlock Rd Ste 100
Arlington, TX 76015-2907
Phone (817) 557-3900

Other names 1

  • Matlock Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matlock Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3360 Matlock Rd
Ste 100
Arlington, TX 76015
Phone (817) 557-3900

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1023249794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152907",
            "telephone_number": "817-557-3900",
            "fax_number": "817-557-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152907",
            "telephone_number": "817-557-3900",
            "fax_number": "817-557-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL RIVERSIDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "214-457-5571",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matlock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.