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TOM THUMB PHARMACY #3621
NPI 1730118704
Pharmacy - Community/Retail Pharmacy in Irving, TX

Active since July 02, 2006CLIA 45D1105090 · Waiver
4010 N MACARTHUR BLVD STE 100, IRVING, TX 75038(972) 650-2090(972) 541-0284 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tom Thumb Pharmacy #3621 NPPES

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

TOM THUMB PHARMACY #3621 (NPI 1730118704) is a healthcare organization registered as a community/retail pharmacy in Irving, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1730118704
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address4010 N MACARTHUR BLVD STE 100Irving, TX 75038-6413
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3920 · Fax (623) 336-6896
Phone(972) 650-2090
Fax(972) 541-0284
Organization SubpartYesParent: Safeway Inc
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 3, 2018
✔ NPI 1730118704 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 22092 (TX)
4010 N MACARTHUR BLVD STE 100, Irving, TX 75038
Open in Google Maps ↗

Other Names 1

Doing Business AsTom Thumb Pharmacy #3621

Other Identifiers 2

Other4583870Other Id Number-commercial Number
Medicaid463786TX

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 45D1105090

Tom Thumb Pharmacy #3621 · Irving, TX
Active · expires Jan 6, 2028
CLIA Number45D1105090
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorJulie R. Spier
Laboratory Phone(972) 650-2090
Laboratory LocationTom Thumb Pharmacy #36214010 N Macarthur, Suite 100, Irving, TX 75038
CLIA data matches this NPI record on: 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 #3621 carries, from the Medicare DMEPOS supplier directory.

Tom Thumb Pharmacy #3621

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

Does not accept Medicare assignment

Tom Thumb Pharmacy #3621 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)20463731
Medicare Participant SinceJanuary 1, 2017
Supplier Location4010 N Macarthur Ste 100Irving, TX 75038
Phone(972) 650-2090
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 4

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

ROBERT BOSTON
Pharmacist
4010 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (972) 650-2090
OLGA CERGE-SAVIC
Pharmacist
4010 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (972) 650-2090
DONALD BOWMAN
Pharmacist
4010 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (972) 650-2090
MELINDA TAYLOR
Pharmacist
4010 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (972) 650-2090

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 1730118704. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Tom Thumb Pharmacy #3621.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 4010 N Macarthur Blvd Ste 100, Irving, TX 75038. The listed phone number is (972) 650-2090.

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 #3621 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 45D1105090) is associated with this NPI, valid through January 6, 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 October 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.