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TOM THUMB PHARMACY #1789
NPI 1427087485
Pharmacy - Community/Retail Pharmacy in Trophy Club, TX

Active since July 02, 2006CLIA 45D2249462 · Waiver
101 TROPHY LAKE DR, TROPHY CLUB, TX 76262(817) 490-6968(817) 490-6985 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tom Thumb Pharmacy #1789 NPPES

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

TOM THUMB PHARMACY #1789 (NPI 1427087485) is a healthcare organization registered as a community/retail pharmacy in Trophy Club, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1427087485
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address101 TROPHY LAKE DRTrophy Club, TX 76262-5233
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(817) 490-6968
Fax(817) 490-6985
Organization SubpartYesParent: Safeway Inc
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 1, 2018
✔ NPI 1427087485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 22082
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
101 TROPHY LAKE DR, Trophy Club, TX 76262
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Other Names 1

Doing Business AsTom Thumb Pharmacy #1789

Other Identifiers 2

Other4515803Other Id Number-commercial Number
Medicaid464709TX

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 45D2249462

Tom Thumb Pharmacy #1789 · Trophy Club, TX
Active · expires Jan 19, 2028
CLIA Number45D2249462
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorJuliann Spier
Laboratory Phone(817) 490-6968
Laboratory LocationTom Thumb Pharmacy #1789101 Trophy Lake Dr, Trophy Club, TX 76262
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 Tom Thumb Pharmacy #1789 carries, from the Medicare DMEPOS supplier directory.

Tom Thumb Pharmacy #1789

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

Does not accept Medicare assignment

Tom Thumb Pharmacy #1789 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)20464199
Medicare Participant SinceJanuary 1, 2017
Supplier Location101 Trophy Lake DrTrophy Club, TX 76262
Phone(817) 490-6968
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 6

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

TAYLOR MICHELLE STONE
Pharmacist
101 TROPHY LAKE DR
ROANOKE, TX 76262
Denton County (817) 490-6968
REBECCA MINYARD
Pharmacist
101 TROPHY LAKE DR
TROPHY CLUB, TX 76262
Denton County (817) 490-6968
KAREN CUMMINGS
Pharmacist
101 TROPHY LAKE DR
TROPHY CLUB, TX 76262
Denton County (817) 490-6968
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
101 TROPHY LAKE DR
TROPHY CLUB, TX 76262
Denton County (817) 490-6968
CHARLES STUMP
Pharmacist
101 TROPHY LAKE DR
TROPHY CLUB, TX 76262
Denton County (817) 490-6968
NATALEE WEAVER PHARMD
Pharmacist
101 TROPHY LAKE DR
TROPHY CLUB, TX 76262
Denton County (817) 490-6968

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 1427087485. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Tom Thumb Pharmacy #1789.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 101 Trophy Lake Dr, Trophy Club, TX 76262. The listed phone number is (817) 490-6968.

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 #1789 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 45D2249462) 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 November 1, 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.