Randalls Food & Drugs LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RANDALLS FOOD & DRUGS LP

Doing business as

Randalls Pharmacy #3054

Practice address

4775 W Panther Creek Dr Ste 400
The Woodlands, TX 77381

Phone

(281) 363-5142

Fax

(281) 363-5145

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

SAFEWAY INCAs reported in NPPES

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

Authorized official

Name

Tiffany Eliopulos

Title

Assistant Manager, Enrollments

Phone

(208) 395-3906

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RANDALLS PHARMACY #3054 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Safeway Pharmacy 193

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  dba Safeway Pharmacy #3525

  • Community/Retail Pharmacy
  • Chehalis, WA
  • NPI 1285663203

  Member Of

  NPD member

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1649209610",
    "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": "4775 W PANTHER CREEK DR STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-363-5142",
            "fax_number": "281-363-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FOOD & DRUGS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY INC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "ELIOPULOS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ASSISTANT MANAGER, ENROLLMENTS",
        "authorized_official_telephone_number": "208-395-3906"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "22111",
            "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": "463646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4587690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANDALLS PHARMACY #3054",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RANDALLS PHARMACY #3054",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Ramirez
• Heather Rachelle Ramirez, APRN, FNP-C, ENP-C
• Yarely Ramirez, CCC-SLP
• Christine V Randall, PH.D.
• Domonique Randall
• Randy a. Birken, M.D.,P.a.
• Stephanie Renee Ranes, BCABA
• Harish P Rao, M.D.
• Fakhra Rashid
• Daima Fanaka Ratcliff, M.D.

• Community/Retail Pharmacy in The Woodlands, TX
• Providers in The Woodlands, 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 Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.