Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANDALLS FOOD & DRUGS LP

Doing business as

Tom Thumb Pharmacy # 2643

Practice address

14280 Marsh LN
Addison, TX 75001-3857

Phone

(972) 241-4532

Fax

(972) 241-4136

NPI assigned

Jul 2, 2006

Last updated

Oct 4, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SAFEWAY INCAs 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 2

Other names 1

• TOM THUMB PHARMACY # 2643 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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 Pharmacy 1234

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mina Athanasius, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Addison, TX
  • NPI 1760094825
  NPD (past)
• Rodney Franks

  • Pharmacist
  • Addison, TX
  • NPI 1699088674
  NPD (past)
• Sandra May Gatlin, PHARM. D.

  • Pharmacist
  • Addison, TX
  • NPI 1699182972
  NPD (past)
• Nadia Jones

  • Pharmacist
  • Addison, TX
  • NPI 1578486833
  NPD (past)
• Hannah Kang

  • Pharmacist
  • Addison, TX
  • NPI 1912210998
  NPD (past)
• Kim Ngoc T Le, PHARMD

  • Pharmacist
  • Addison, TX
  • NPI 1104595958
  NPD (past)
• Clint Michael Mumpower, PHARMD

  • Pharmacist
  • Addison, TX
  • NPI 1043806169
  NPD (past)
• Babitha Palathumthalackal, PHARMD

  • Pharmacist
  • Addison, TX
  • NPI 1770175044
  NPD (past)
• Eugene Pearson

  • Pharmacist
  • Addison, TX
  • NPI 1922311901
  NPD (past)
• Tasana Scales

  • Pharmacist
  • Addison, TX
  • NPI 1245530039
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1043249006",
    "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": "14280 MARSH LN",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013857",
            "telephone_number": "972-241-4532",
            "fax_number": "972-241-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY INC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-10-04",
        "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": "TX",
            "license": "22145",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4517819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463776",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOM THUMB PHARMACY # 2643",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOM THUMB PHARMACY # 2643",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alam Rajabali
• Amarissa Raley
• Sudha Ramakrishna, M.D.
• Kendal Ramey
• Stacy Anne Ramsey, LPC, EAS-C
• Ritu M Rao, DDS
• Rapha Behavioral Health Care Inc.
• Laurie Suzanne Raulerson, OT
• Raven Counseling Services, PLLC
• Ray Wellness, PLLC

• Community/Retail Pharmacy in Addison, TX
• Providers in Addison, 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 Oct 4, 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.