Active NPI
Randolph McEwen
- Pharmacist
- Tampa, FL
National Provider Identifier
1447667407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS25912
- Practice address
- 18002 Malakai Isle Dr
Tampa, FL 33647-2990 - Phone
- (813) 877-9700
- NPI assigned
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS25912 | FL | Primary |
Addresses
Primary practice location
18002 Malakai Isle Dr
Tampa, FL 33647-2990
Mailing address
18002 Malakai Isle Dr
Tampa, FL 33647-2990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS25912 | Other | FL | PROFESIONAL LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS25912 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1447667407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18002 MALAKAI ISLE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18002 MALAKAI ISLE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472990",
"telephone_number": "813-877-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "RANDOLPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS25912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESIONAL LICENSE",
"identifier": "PS25912",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.