Active NPI
Randy Patrick McDonough, PHARM.D., M.S., BCPS
- Pharmacotherapy Pharmacist
- Iowa City, IA
National Provider Identifier
1255332052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 16918
- Practice address
- 2306 Muscatine Ave
Iowa City, IA 52240-6637 - Phone
- (319) 337-3526
- Fax
- (319) 337-5271
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 16918 | IA | Primary |
Addresses
Primary practice location
2306 Muscatine Ave
Iowa City, IA 52240-6637
Mailing address
2306 Muscatine Ave
Towncrest Pharmacy
Iowa City, IA 52240-6637
Phone (319) 337-3526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006585 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16918 | IA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255332052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 MUSCATINE AVE",
"address_2": "TOWNCREST PHARMACY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406637",
"telephone_number": "319-337-3526",
"fax_number": "319-337-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 MUSCATINE AVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406637",
"telephone_number": "319-337-3526",
"fax_number": "319-337-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "RANDY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARM.D., M.S., BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IA",
"license": "16918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006585",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.