Organization Active NPI

Randy Ackman Inc.

Doing business as Randy's Rx

  • Durable Medical Equipment & Medical Supplies
  • Sikeston, MO
National Provider Identifier
1215120142
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
005751 Issued in MO
Legal business name
RANDY ACKMAN INC.
Doing business as
Randy's Rx
Practice address
1012 N Main St
Sikeston, MO 63801-5044
Phone
(573) 471-0285
Fax
(573) 471-6219
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Mr. Randy Keith Ackman, R. PH.
Title
Pres.
Phone
(573) 471-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 005751 MO Primary

Addresses

Primary practice location

1012 N Main St
Sikeston, MO 63801-5044

Mailing address

1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0285

Other names 1

  • Randy's Rx Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1215120142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-0285",
            "fax_number": "573-471-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-0285",
            "fax_number": "573-471-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY ACKMAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "ACKMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "573-471-0285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randy's Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.