NPIMap

Organization Active NPI

Randal Riverside Corporation

  • Mail Order Pharmacy
  • Arlington, TX
National Provider Identifier
1821584764
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
RANDAL RIVERSIDE CORPORATION
Practice address
3360 Matlock Rd
Arlington, TX 76015-2907
Phone
(817) 557-3900
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Praful D Patel
Title
Officer
Phone
(817) 557-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

3360 Matlock Rd
Arlington, TX 76015-2907

Mailing address

3360 Matlock Rd
Arlington, TX 76015-2907
Phone (817) 557-3900

National Provider Directory

National Provider Directory
Tax ID family
Matlock Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3360 Matlock Rd
Arlington, TX 76015
Phone (817) 557-3900

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1821584764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152907",
            "telephone_number": "817-557-3900",
            "fax_number": "817-557-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152907",
            "telephone_number": "817-557-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL RIVERSIDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-557-3900"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.