RANDALLS FOOD & DRUGS LP (NPI# 1790721314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790721314 |
| Entity Type | Organization |
| Organization Name | RANDALLS FOOD & DRUGS LP |
| Other Organization Name | TOM THUMB PHARMACY #3622 |
| Practice Address |
6377 Camp Bowie Blvd Ft Worth TX 76116-5473 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 8177312977 |
| Practice Fax Number | 8177310377 |
| Mailing Telephone | 2083953920 |
| Mailing Fax Number | 6233366896 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | TIFFANY ELIOPULOS (ASSISTANT MANAGER, ENROLLMENTS) |
| Authorized Official Telephone | 2083953906 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAFEWAY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 22093 | TX | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4579794 | 01 | |
| TX | 463765 | 05 |
| Other Name | Type Code |
|---|---|
| TOM THUMB PHARMACY #3622 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464987 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2727 Live Oak St, Dallas, TX 75204-5729 | 2020-07-09 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1750830550 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 3441 Lakeline Blvd, Leander, TX 78641-5007 | 2016-09-22 |
| 1922431386 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5550 F.m. 423, Frisco, TX 75036-8900 | 2013-08-20 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| 1922322098 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 3070 N Goliad, Rockwall, TX 75087 | 2010-03-18 |
| 1437180254 | Randalls Food & Drugs Lp | Pharmacy | 2301 Justin Rd, Flower Mound, TX 75028-3777 | 2006-07-06 |
| 1841222676 | Randalls Food & Drugs Lp | Pharmacy | 302 S Park Blvd, Grapevine, TX 76051-7835 | 2006-07-06 |
| Street Address |
6377 CAMP BOWIE BLVD |
| City | FT WORTH |
| State | TX |
| Zip Code | 76116-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904150 | Minyard Food Stores Inc. | Pharmacy | 102 Nw 28th St, Ft Worth, TX 76106-7115 | 2006-11-01 |
| 1063599801 | Minyard Food Stores Inc. | Pharmacy | 1212 N Beach St, Ft Worth, TX 76111-6027 | 2006-11-01 |
| 1326126293 | Minyard Food Stores Inc. | Pharmacy | 7809 Camp Bowie W, Ft Worth, TX 76116-6417 | 2006-11-01 |
| 1346328358 | Minyard Food Stores Inc. | Pharmacy | 3451 Altamesa Blvd, Ft Worth, TX 76133-5701 | 2006-11-01 |
| 1316024292 | Minyard Food Stores Inc. | Pharmacy | 3563 Alton Rd, Ft Worth, TX 76109-2834 | 2006-10-31 |
| 1740367614 | Minyard Food Stores Inc. | Pharmacy | 4245 E Berry St, Ft Worth, TX 76105-5002 | 2006-10-31 |
| 1548364359 | Cvs Pharmacy Inc | Pharmacy | 1201 N Beach St, Ft Worth, TX 76111-6043 | 2006-09-12 |
| 1679677462 | Cvs Pharmacy Inc | Pharmacy | 8520 Camp Bowie W, Ft Worth, TX 76116-6203 | 2006-09-12 |
| 1669576450 | Cvs Pharmacy Inc | Pharmacy | 3614 Camp Bowie Blvd, Ft Worth, TX 76107-3352 | 2006-09-12 |
| 1457455263 | Cvs Pharmacy Inc | Pharmacy | 4140 E Lancaster Ave, Ft Worth, TX 76103-3615 | 2006-09-12 |
| Find all providers in FT WORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.