Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANDALLS FOOD & DRUGS LP

Practice address

11920 Preston Rd
Dallas, TX 75230-2711

Phone

(972) 980-4915

Fax

(972) 392-1506

NPI assigned

Jul 2, 2006

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

• TOM THUMB PHARMACY #3597 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

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member

Practitioners 11

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

• Davoud Babahaji

  • Pharmacist
  • Dallas, TX
  • NPI 1225342249
  NPD (past)
• Lauren Cross

  • Pharmacist
  • Dallas, TX
  • NPI 1568704120
  NPD (past)
• Kelsie Isaacs

  • Pharmacist
  • Dallas, TX
  • NPI 1700140993
  NPD (past)
• Birikti Kiflezion, RPH

  • Pharmacist
  • Dallas, TX
  • NPI 1477019842
  NPD (past)
• Tu-Khanh Lam

  • Pharmacist
  • Dallas, TX
  • NPI 1841921244
  NPD (past)
• Lynda Lee

  • Ambulatory Care Pharmacist
  • Dallas, TX
  • NPI 1669786687
  NPD (past)
• Suyeon Lee

  • Pharmacist
  • Dallas, TX
  • NPI 1750007209
  NPD (past)
• Shahrum Pazoki

  • Pharmacist
  • Dallas, TX
  • NPI 1891129409
  NPD (past)
• Van-Anh Phan

  • Pharmacist
  • Dallas, TX
  • NPI 1306150321
  NPD (past)
• Robel Tekle

  • Pharmacist
  • Dallas, TX
  • NPI 1063978468
  NPD (past)
• Faeza Yusufali

  • Pharmacist
  • Dallas, TX
  • NPI 1023316924
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1386673358",
    "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": "11920 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302711",
            "telephone_number": "972-980-4915",
            "fax_number": "972-392-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22088",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463764",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4578398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOM THUMB PHARMACY #3597",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOM THUMB PHARMACY #3597",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP
• Randalls Food & Drugs LP

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, 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.