Christine Marie Randall, MS RPH BCGP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

PS63441 Issued in FL

Practice address

841 Prudential Dr Ste 180
Jacksonville, FL 32207-8350

Phone

(904) 202-4613

Fax

(904) 202-4638

NPI assigned

Feb 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1346572989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BURGESS HILL DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464092",
            "telephone_number": "585-755-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 180",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078350",
            "telephone_number": "904-202-4613",
            "fax_number": "904-202-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS RPH BCGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041426",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS63441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ranalli, MD
• Angela Rand
• Marco David Rand, D.M.D.
• Randall a Riegler MD PA
• Randall M. Haas, DC PA
• Miakish Randall
• Monica A Randall
• Tiffany Lynroy Randall
• Theresa Randazzo-Burton, M.D.
• Heather Hurst Randles, PHARMD.

• Geriatric Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Geriatric Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.