Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22167 Issued in TX

Legal business name

RANDALLS FOOD & DRUGS LP

Practice address

3100 Independence Pkwy
Plano, TX 75075-9152

Phone

(972) 596-4422

Fax

(972) 964-5611

NPI assigned

Jun 21, 2006

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 #2554 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 1073

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member

Locations

Practitioners 9

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

• Zoya Hassan, PHARMD

  • Pharmacist
  • Plano, TX
  • NPI 1427920354
  NPD (past)
• Serena Lao, PHARMD

  • Pharmacist
  • Plano, TX
  • NPI 1306459219
  NPD (past)
• Jenny Quynh Nhu Le, PHARMD

  • Pharmacist
  • Plano, TX
  • NPI 1720743552
  NPD (past)
• Frances Palmer

  • Pharmacist
  • Plano, TX
  • NPI 1720390156
  NPD (past)
• Stephen Trapp

  • Pharmacist
  • Plano, TX
  • NPI 1568774990
  NPD (past)
• Amanda K Trieu

  • Pharmacist
  • Plano, TX
  • NPI 1023599370
  NPD (past)
• Michael Thomas Youngblood, RPH

  • Pharmacist
  • Plano, TX
  • NPI 1508861543
  NPD (past)
• Iman Zidan

  • Pharmacist
  • Plano, TX
  • NPI 1881414001
  NPD (past)
• Huong N-C Tran

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1285289868
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1124064720",
    "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": "3100 INDEPENDENCE PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750759152",
            "telephone_number": "972-596-4422",
            "fax_number": "972-964-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY INC",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-11-02",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4547646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463780",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOM THUMB PHARMACY #2554",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOM THUMB PHARMACY #2554",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tahir Muhammad Rana, MD PHD
• Randal L. Troop, M.D., P.a.
• Randall Burt MD PA
• Randall M Dick MD PA
• Arniesha M Randall
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Julli Ann Randol, APRN
• Richard Gary Ranen, D.D.S

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, 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 Nov 2, 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.