Randall Haskell Hooper, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS31066 Issued in FL

Practice address

4725 N Ocean Dr
Lauderdale by the Sea, FL 33308-2914

Phone

(954) 942-8648

NPI assigned

Dec 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holiday CVS LLC

  • Pharmacy
  • Lauderdale by the Sea, FL
  • NPI 1093819955
  NPD
• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1164019014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 NE 10TH TER",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333343713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N OCEAN DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082914",
            "telephone_number": "954-942-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "RANDALL",
        "middle_name": "HASKELL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Hallson
• Helping Hands With Quality, Inc.
• Russell E Hilliard, PHD, LCSW
• Holiday CVS LLC
• Holistic Family Wellness LLC
• Id III, LLC
• Kimberly Johnson, RD
• Steven Jordan
• Julia Fischetto, Ms,PA
• Linda Louise Keene, MSPT

• Pharmacist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; 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.