Randa Botros, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH53936 Issued in CA

Practice address

24500 Alicia Pkwy
Mission Viejo, CA 92691-4508

Phone

(949) 583-1278

Fax

(949) 427-4055

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Randa Costanteen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1124346812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLYMPIC WAY",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794839",
            "telephone_number": "949-609-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 ALICIA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914508",
            "telephone_number": "949-583-1278",
            "fax_number": "949-427-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "RANDA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH53936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDA",
            "last_name": "COSTANTEEN",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Borke, M.D.
• Tara Bormand
• Monica Borschel, PHD, PSYD
• Rachel Jayne Bosemer, M.S. CCC-SLP
• Jacob Botros
• Samih Nabil Botros, RPH
• Botrosons Pharmaceutical Inc
• Laurie Layton Boulware, PT, DPT, CSCS
• Nicholas John Bowden, DOCTORATE
• Toni Bowie

• Pharmacist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.