Active NPI
Randa Kay Staugler, PHARMD
- Ambulatory Care Pharmacist
- Portland, IN
National Provider Identifier
1730945742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 26028899A
- Practice address
- 430 W Votaw St
Portland, IN 47371-1302 - Phone
- (260) 726-7616
- NPI assigned
- Feb 27, 2024
- Last updated
- Feb 27, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 26028899A | IN | Primary |
Addresses
Primary practice location
430 W Votaw St
Portland, IN 47371-1302
Mailing address
1055 W 200 S
Portland, IN 47371-8712
Other practice location 1
428 W Votaw St
Portland, IN 47371-1302
Phone (260) 726-8822
Other practice location 2
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-2313
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 |
|---|---|---|---|
| 26028899A | IN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1730945742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 W 200 S",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473718712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711302",
"telephone_number": "260-726-7616"
}
],
"practiceLocations": [
{
"address_1": "428 W Votaw St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "IN",
"postal_code": "473711302",
"country_code": "US",
"telephone_number": "260-726-8822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Votaw St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "IN",
"postal_code": "473711322",
"country_code": "US",
"telephone_number": "260-726-2313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAUGLER",
"first_name": "RANDA",
"middle_name": "KAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IN",
"license": "26028899A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.