Active NPI
Randi Rodgers, PHARM D
- Pharmacist
- Mangonia Park, FL
National Provider Identifier
1639388002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P16635
- Practice address
- 901 45TH St
Mangonia Park, FL 33407-2413 - Phone
- (954) 464-6484
- NPI assigned
- May 22, 2007
- Last updated
- Dec 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42853 | FL | |
| Pharmacist | 183500000X | P16635 | FL | Primary |
Addresses
Primary practice location
901 45TH St
Mangonia Park, FL 33407-2413
Mailing address
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 402-8557
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16635 | FL | MD | Pharmacist |
| PS42853 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671235200000",
"number": "1639388002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 45TH ST",
"city": "MANGONIA PARK",
"state": "FL",
"postal_code": "334072413",
"telephone_number": "561-402-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 45TH ST",
"city": "MANGONIA PARK",
"state": "FL",
"postal_code": "334072413",
"telephone_number": "954-464-6484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "RANDI",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2022-12-17",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42853",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "P16635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mangonia Park, FL
- Michelle Ann Marie Aquino Rapanut
- Racquille Abigail Reid, MBBS, BMSC
- Reliance Pharmacy 2 LLC (Gardens Drugs at St. Marys)
- Mariela Riegger, APRN
- Piilani Crystal Riley, FNP
- Claudia E Russell, LCSW
- Tierra Necole Russell, CPPD
- Sandy Chand Sahadeo, APRN-PMHNP
- Tayana Saintilmar, APRN
- Chad Robert Sanborn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.