Organization Active NPI

Randolphs RX Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1316045347
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054011619 Issued in IL
Legal business name
RANDOLPHS RX PHARMACY
Practice address
2751 W 51St St
Chicago, IL 60632-2136
Phone
(773) 434-7186
Fax
(773) 778-7585
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Helen Randolph, PHARM.D.NPI 1336390368
Title
President/ Pic
Phone
(773) 434-7186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054011619 IL Primary

Addresses

Primary practice location

2751 W 51St St
Chicago, IL 60632-2136

Mailing address

2751 W 51St St
Chicago, IL 60632-2136
Phone (773) 434-7186

Other identifiers 1

IdentifierTypeStateIssuer
2020858OtherPK

Other names 1

  • RANDOLPHS RX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2751 W 51st St
Chicago, IL 60632
Phone (773) 434-7186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1316045347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 W 51ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322136",
            "telephone_number": "773-434-7186",
            "fax_number": "773-778-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 W 51ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322136",
            "telephone_number": "773-434-7186",
            "fax_number": "773-778-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPHS RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT/ PIC",
        "authorized_official_telephone_number": "773-434-7186",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDOLPHS RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.