Individual provider Active NPI

Anthony Randolph, D.O., PHARM.D.

  • General Practice Physician
  • Erie, PA
National Provider Identifier
1831534189
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS017420 Issued in PA
Practice address
706 Hickory Hill Blvd
Erie, PA 16509-3314
Phone
(814) 418-2186
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS017420 PA
General Practice Physician 208D00000X OS017420 PA Primary

Addresses

Primary practice location

706 Hickory Hill Blvd
Erie, PA 16509-3314

Mailing address

706 Hickory Hill Blvd
Erie, PA 16509-3314
Phone (814) 418-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101000843 PA Practitioner - Internal Medicine 6204030141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
OS017420PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Jul 7, 2025 Accepting new patients
American Current Care P.a . CurrentSince Jul 7, 2025 Accepting new patients
Meadville Physician Services Internal Medicine Past Accepting new patients

Locations

6301 Grayson Rd
Harrisburg, PA 17111
Phone (717) 561-2658

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: arandolph@fcim.gwaydirect.com
  • Direct secure messaging: ms_arando18@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1831534189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HICKORY HILL BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093314",
            "telephone_number": "814-418-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HICKORY HILL BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093314",
            "telephone_number": "814-418-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O., PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017420",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS017420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.