Active NPI
Steven L Randall
- Pharmacist
- Peyton, CO
National Provider Identifier
1497915458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14408
- Practice address
- 16560 Reata CT
Peyton, CO 80831-9459 - Phone
- (719) 749-2258
- NPI assigned
- Jun 12, 2008
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14408 | CO | Primary |
Addresses
Primary practice location
16560 Reata CT
Peyton, CO 80831-9459
Mailing address
16560 Reata CT
Peyton, CO 80831-9459
Phone (719) 749-2258
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 |
|---|---|---|---|
| 14408 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1497915458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16560 REATA CT",
"city": "PEYTON",
"state": "CO",
"postal_code": "808319459",
"telephone_number": "719-749-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16560 REATA CT",
"city": "PEYTON",
"state": "CO",
"postal_code": "808319459",
"telephone_number": "719-749-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "STEVEN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "14408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.