Active NPI
Randall John Dutch, RPHT, CPHT
- Pharmacy Technician
- Brooksville, FL
National Provider Identifier
1033049473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT31780
- Practice address
- 30875 Water Lily Dr
Brooksville, FL 34602-7728 - Phone
- (724) 741-8000
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT31780 | FL | Primary |
Addresses
Primary practice location
30875 Water Lily Dr
Brooksville, FL 34602-7728
Mailing address
30875 Water Lily Dr
Brooksville, FL 34602-7728
Phone (724) 741-8000
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 |
|---|---|---|---|
| RPT31780 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1033049473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30875 WATER LILY DR",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346027728",
"telephone_number": "724-741-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30875 WATER LILY DR",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346027728",
"telephone_number": "724-741-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTCH",
"first_name": "RANDALL",
"middle_name": "JOHN",
"credential": "RPHT, CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT31780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.