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TOM THUMB PHARMACY #1786
NPI 1134158199
Pharmacy - Community/Retail Pharmacy in Grand Prairie, TX

Active since July 02, 2006CLIA 45D2249457 · Waiver
4215 S CARRIER PKWY, GRAND PRAIRIE, TX 75052(972) 266-7056(972) 266-7087 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 5, 2024, Nov 1, 2018 (2 updates tracked since 2018).

About Tom Thumb Pharmacy #1786 NPPES

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

TOM THUMB PHARMACY #1786 (NPI 1134158199) is a healthcare organization registered as a community/retail pharmacy in Grand Prairie, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1134158199
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address4215 S CARRIER PKWYGrand Prairie, TX 75052-3203
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(972) 266-7056
Fax(972) 266-7087
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1134158199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedPharmacyTaxonomy 333600000X · License 22116 (TX)
4215 S CARRIER PKWY, Grand Prairie, TX 75052
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Other Names 1

Doing Business AsTom Thumb Pharmacy #1786

Other Identifiers 2

Other4517542Other Id Number-commercial Number
Medicaid464783TX

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 45D2249457

Tom Thumb Pharmacy #1786 · Grand Prairie, TX
Active · expires Jan 19, 2028
CLIA Number45D2249457
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorJuliann Spier
Laboratory Phone(972) 266-7056
Laboratory LocationTom Thumb Pharmacy #17864215 S Carrier Pkwy, Grand Prairie, TX 75052
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 12

Medicare supplier enrollment and the product categories Tom Thumb Pharmacy #1786 carries, from the Medicare DMEPOS supplier directory.

Tom Thumb Pharmacy #1786

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

Does not accept Medicare assignment

Tom Thumb Pharmacy #1786 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)20464187
Medicare Participant SinceJanuary 1, 2017
Supplier Location4215 S CarrierGrand Prairie, TX 75052
Phone(972) 266-7056
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
Infusion Drugs
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
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 5

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

MICHAEL DUNG TRAN
Pharmacist
4215 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Dallas County (972) 266-7050
TRINA RAYMOND
Pharmacist
4215 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Dallas County (972) 266-7056
MS. GRACE OLUDOLAPO OKESANYA
Pharmacist
4215 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Dallas County (972) 266-7050
DR. SHEENA NGUYEN PHARMD
Pharmacist
4215 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Dallas County (972) 266-7056
SON PHAM
Pharmacist
4215 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Dallas County (972) 266-7056

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 1134158199. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Tom Thumb Pharmacy #1786.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 4215 S Carrier Pkwy, Grand Prairie, TX 75052. The listed phone number is (972) 266-7056.

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, Tom Thumb Pharmacy #1786 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 45D2249457) is associated with this NPI, valid through January 19, 2028. 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 47 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 July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.