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RANDALLS PHARMACY #2475
NPI 1184656910
Pharmacy - Community/Retail Pharmacy in Austin, TX

Active since July 06, 2006CLIA 45D2178167 · Waiver
5311 BALCONES DR, AUSTIN, TX 78731(512) 302-2504(512) 453-6397 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Randalls Pharmacy #2475 NPPES

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

RANDALLS PHARMACY #2475 (NPI 1184656910) 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 January 27, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1184656910
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address5311 BALCONES DRAustin, TX 78731-4909
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(512) 302-2504
Fax(512) 453-6397
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1184656910 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 22066 (TX)
5311 BALCONES DR, Austin, TX 78731
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Other Names 1

Doing Business AsRandalls Pharmacy #2475

Other Identifiers 2

Medicaid463750TX
Other4593554Other 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 45D2178167

Randalls Pharmacy #2475 · Austin, TX
Active · expires Jan 27, 2028
CLIA Number45D2178167
Laboratory TypePharmacy
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorJuliann Spier
Laboratory Phone(512) 302-2504
Laboratory LocationRandalls Pharmacy #24755311 Balcones Dr, Austin, TX 78731
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 #2475 carries, from the Medicare DMEPOS supplier directory.

Randalls Pharmacy #2475

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

Does not accept Medicare assignment

Randalls Pharmacy #2475 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)20464289
Medicare Participant SinceJanuary 1, 2017
Supplier Location5311 Balcones DrAustin, TX 78731
Phone(512) 302-2504
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 5

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

KIMBERLI STILES
Pharmacist
5311 BALCONES DR
AUSTIN, TX 78731
Travis County (512) 302-2504
LAURA ENDRES
Pharmacist
5311 BALCONES DR
AUSTIN, TX 78731
Travis County (512) 302-2504
DUANE DEWITT
Pharmacist
5311 BALCONES DR
AUSTIN, TX 78731
Travis County (512) 302-2504
CHARLOTTE NGUYEN
Pharmacist
5311 BALCONES DR
AUSTIN, TX 78731
Travis County (512) 302-2504
MS. MADELINE OUIDA FLATT PHARM.D.
Pharmacist
5311 BALCONES DR
AUSTIN, TX 78731
Travis County (512) 302-2504

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 1184656910. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Randalls Pharmacy #2475.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 5311 Balcones Dr, Austin, TX 78731. The listed phone number is (512) 302-2504.

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 #2475 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 45D2178167) is associated with this NPI, valid through January 27, 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 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 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.