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RANDALLS PHARMACY #2485
NPI 1073542049
Pharmacy - Community/Retail Pharmacy in Austin, TX

Active since July 02, 2006CLIA 45D2054485 · Waiver
2025 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 441-7865(512) 440-4586 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randalls Pharmacy #2485 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALLS PHARMACY #2485 (NPI 1073542049) is a healthcare organization registered as a community/retail pharmacy in Austin, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1073542049
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address2025 W BEN WHITE BLVDAustin, TX 78704-7518
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(512) 441-7865
Fax(512) 440-4586
Organization SubpartYesParent: Safeway Inc
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 2, 2018
✔ NPI 1073542049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 22173 (TX)
2025 W BEN WHITE BLVD, Austin, TX 78704
Open in Google Maps ↗

Other Names 1

Doing Business AsRandalls Pharmacy #2485

Other Identifiers 2

Medicaid463688TX
Other4590457Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2054485

Randalls Pharmacy #2485 · Austin, TX
Active · expires Feb 20, 2027
CLIA Number45D2054485
Laboratory TypePharmacy
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorJuliann R. Spier
Laboratory Phone(512) 441-7865
Laboratory LocationRandalls Pharmacy #24852025 W Ben White Blvd, Austin, TX 78704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Randalls Pharmacy #2485 carries, from the Medicare DMEPOS supplier directory.

Randalls Pharmacy #2485

DMEPOS supplier · Austin, TXOperated by Randalls Food & Drugs LP
⋮

Does not accept Medicare assignment

Randalls Pharmacy #2485 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20463827
Medicare Participant SinceJanuary 1, 2017
Supplier Location2025 W Ben White BlvdAustin, TX 78704
Phone(512) 441-7865
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY RENEE WLECZYK
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865
ADAM BENNETT SMITH JR.
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865
WILLIAM HASTY
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865
DR. XUAN NGOC DAO CATANO PHARMD
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865
KENNETH MCKINZIE
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865
DOROTHY TRAN
Pharmacist
2025 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 441-7865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randalls Food & Drugs LP's NPI number?

The NPI number for Randalls Food & Drugs LP is 1073542049. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Randalls Pharmacy #2485.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 2025 W Ben White Blvd, Austin, TX 78704. The listed phone number is (512) 441-7865.

What is Randalls Food & Drugs LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Randalls Food & Drugs LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Randalls Pharmacy #2485 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Randalls Food & Drugs LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2054485) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Randalls Food & Drugs LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 46 other insurers list Randalls Food & Drugs LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randalls Food & Drugs LP was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.