Mona Lisa Randolph, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

53452 Issued in TX

Practice address

5601 W Amarillo Blvd
Amarillo, TX 79106-4141

Phone

(806) 352-6650

Fax

(806) 352-7833

NPI assigned

Aug 5, 2013

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• United Supermarkets LLC

  dba United Pharmacy #0823

  • Community/Retail Pharmacy
  • Amarillo, TX
  • NPI 1124019542
  NPD (past)
• Walgreen Co

  dba Walgreens #13124

  • Pharmacy
  • Amarillo, TX
  • NPI 1083847313
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• United Supermarkets LLC

  dba Market Street Pharmacy #0921

  • Community/Retail Pharmacy
  • Rio Rancho, NM
  • NPI 1346061900
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1912339649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064141",
            "telephone_number": "806-352-6650",
            "fax_number": "806-352-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064141",
            "telephone_number": "806-352-6650",
            "fax_number": "806-352-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MONA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ramos, N.P.
• Isabel Romero Ramos, FNP-BC
• Josephine Ramos
• Randall D Lamb Inc
• Janet Randolph, LPC
• Sherry Lynne Randolph, M.A., LPC
• William Matt Randolph, PHARM.D
• Randy Hines MD PA
• Gautam Tyagi Rangappa
• Blanca Rangel, APRN

• Pharmacist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.