Nancy J Randall, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

I040647 Issued in NY

Practice address

3666 Nys Route 281
Cortland, NY 13045-3576

Phone

(607) 753-9359

NPI assigned

Dec 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1942483565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 NYS ROUTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453576",
            "telephone_number": "607-753-9359",
            "fax_number": "607-758-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 NYS ROUTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453576",
            "telephone_number": "607-753-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040647",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I040647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Putnam, MD
• Shahida Qazi, DDS, FAGD
• Melissa A Quick, CASAC
• Bridget Monika Quinlan, OTR/L
• Radiation Oncology Services PC
• Harish Ravipati, MD
• Mary Marcella Ray, LICENSED PRACTICAL N
• Margaret Reagan, LMSW
• Tali Reeis-Martin, M.D
• Adam C Reeners, PHARM.D.

• Pharmacist in Cortland, NY
• Providers in Cortland, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.