Randys Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

44-4969 Issued in OK

Legal business name

RANDYS PHARMACY INC

Doing business as

Randys Pharmacy Inc

Practice address

1310 Main St
Woodward, OK 73801-3002

Phone

(580) 256-6600

Fax

(580) 254-2835

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Megan Swayze, PHARMDNPI 1730808536

Title

Owner/Pic

Phone

(580) 256-6600

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• RANDYS PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Tax ID family

Randys Pharmacy Inc2 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.

• Randys Pharmacy (LTC)

  • Long Term Care Pharmacy
  • Woodward, OK
  • NPI 1053031369
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Swayze, PHARMD

  • Pharmacist
  • Woodward, OK
  • NPI 1730808536
  NPD Authorized official
• Debbie Dawn Covalt

  • Pharmacist
  • Woodward, OK
  • NPI 1184217663
  NPD (past)
• Tara Schultz, RPH

  • Pharmacist
  • Woodward, OK
  • NPI 1922573120
  NPD (past)
• Greg Waggoner

  • Pharmacist
  • Woodward, OK
  • NPI 1205496957
  NPD (past)
• Randal Willis, RPH

  • Pharmacist
  • Woodward, OK
  • NPI 1508335456
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1073606414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013002",
            "telephone_number": "580-256-6600",
            "fax_number": "580-254-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013002",
            "telephone_number": "580-256-6600",
            "fax_number": "580-254-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SWAYZE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "580-256-6600",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "44-4969",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239730B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDYS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RANDYS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi L Prophet
• R. Troy Lehman DO PC (New Life Med Spa)
• Marsellia Rael, LMSW
• Randall Ramirez Jr.
• Randys Pharmacy (LTC)
• Jason Scott Ray, MD
• Kathryn Anne Ray, MD
• Kristen L Ray
• Red Canyon Counseling
• Rita Reeves

• Community/Retail Pharmacy in Woodward, OK
• Providers in Woodward, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.