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RANDALLS PHARMACY #1896
NPI 1356387971
Pharmacy - Community/Retail Pharmacy in Cedar Park, TX

Active since June 21, 2006CLIA 45D2247518 · Waiver
1400 CYPRESS CREEK RD, CEDAR PARK, TX 78613(512) 506-9112(512) 506-9127 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Randalls Pharmacy #1896 NPPES

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

RANDALLS PHARMACY #1896 (NPI 1356387971) is a healthcare organization registered as a community/retail pharmacy in Cedar Park, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1356387971
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address1400 CYPRESS CREEK RDCedar Park, TX 78613-4471
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(512) 506-9112
Fax(512) 506-9127
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1356387971 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 21279 (TX)
1400 CYPRESS CREEK RD, Cedar Park, TX 78613
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Other Names 1

Doing Business AsRandalls Pharmacy #1896

Other Identifiers 2

Medicaid465113TX
Other4520424Other 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 45D2247518

Randalls Pharmacy #1896 · Cedar Park, TX
Active · expires Jan 5, 2028
CLIA Number45D2247518
Laboratory TypePharmacy
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorJuliann Spier
Laboratory Phone(512) 506-9112
Laboratory LocationRandalls Pharmacy #18961400 Cypress Creek Rd, Cedar Park, TX 78613
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 11

Medicare supplier enrollment and the product categories Randalls Pharmacy #1896 carries, from the Medicare DMEPOS supplier directory.

Randalls Pharmacy #1896

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

Does not accept Medicare assignment

Randalls Pharmacy #1896 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)20464169
Medicare Participant SinceJanuary 1, 2017
Supplier Location1400 Cypress Creek RdCedar Park, TX 78613
Phone(512) 506-9112
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.

THOMAS LANFORD
Pharmacist
1400 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 506-9112
MARY RIDDICK
Pharmacist
1400 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 506-9112
KENNETH PAULSEN
Pharmacist
1400 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 506-9112
NANCY HUYNH
Pharmacist
1400 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 506-9118
MR. JONATHAN HARPER RPH
Pharmacist
1400 CYPRESS CREEK RD
CEDAR PARK, TX 78613
Williamson County (512) 506-9112

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 1356387971. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Randalls Pharmacy #1896.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 1400 Cypress Creek Rd, Cedar Park, TX 78613. The listed phone number is (512) 506-9112.

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 #1896 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 45D2247518) is associated with this NPI, valid through January 5, 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 with the weekly NPPES data releases published by CMS.