Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANDALLS FOOD & DRUGS LP

Doing business as

Randalls Pharmacy #2475

Practice address

5311 Balcones Dr
Austin, TX 78731-4909

Phone

(512) 302-2504

Fax

(512) 453-6397

NPI assigned

Jul 6, 2006

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RANDALLS PHARMACY #2475 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

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

Locations

Practitioners 5

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.

• Duane Dewitt

  • Pharmacist
  • Austin, TX
  • NPI 1609136233
  NPD (past)
• Laura Endres

  • Pharmacist
  • Austin, TX
  • NPI 1124450200
  NPD (past)
• Madeline Ouida Flatt, PHARM.D.

  • Pharmacist
  • Austin, TX
  • NPI 1952079808
  NPD (past)
• Charlotte Nguyen

  • Pharmacist
  • Austin, TX
  • NPI 1639883283
  NPD (past)
• Kimberli Stiles

  • Pharmacist
  • Austin, TX
  • NPI 1063724698
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1184656910",
    "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": "5311 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314909",
            "telephone_number": "512-302-2504",
            "fax_number": "512-453-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENTS MANAGER",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22066",
            "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": "4593554",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463750",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDALLS PHARMACY #2475",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RANDALLS PHARMACY #2475",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Elizabeth Randall, RD, LD
• Marina Randall
• Rebekah Lynne Randall, CNM
• Roberta Jean Randall
• Randalls Food & Drugs LP (Randalls Pharmacy #2485)
• Randalls Food & Drugs LP (Randalls Pharmacy # 2482)
• Randalls Food & Drugs LP (Randalls Pharmacy #2987)
• Randalls Food & Drugs LP (Randalls Pharmacy #2473)
• Randalls Food & Drugs LP (Randalls Pharmacy #1850)
• Taylor Leigh Randell, MD

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, 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 Jul 5, 2024; 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.