1. Home
  2. Directory
  3. Texas
  4. Lakeway
  5. Pharmacy
  6. NPI Profile

RANDALLS PHARMACY #1779
NPI 1982633954
Pharmacy - Community/Retail Pharmacy in Lakeway, TX

Active since July 02, 2006CLIA 45D2050438 · Waiver
2303 RANCH ROAD 620 S, LAKEWAY, TX 78734(512) 263-3105(512) 263-3196 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Oct 23, 2018 (2 updates tracked since 2018).

About Randalls Pharmacy #1779 NPPES

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

RANDALLS PHARMACY #1779 (NPI 1982633954) is a healthcare organization registered as a community/retail pharmacy in Lakeway, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1982633954
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRANDALLS FOOD & DRUGS LP
Location Address2303 RANCH ROAD 620 SLakeway, TX 78734-6219
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(512) 263-3105
Fax(512) 263-3196
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1982633954 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 22109 (TX)
2303 RANCH ROAD 620 S, Lakeway, TX 78734
Open in Google Maps ↗

Other Names 1

Doing Business AsRandalls Pharmacy #1779

Other Identifiers 2

Medicaid463692TX
Other4590508Other 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 45D2050438

Randalls Pharmacy #1779 · Lakeway, TX
Active · expires Nov 28, 2026
CLIA Number45D2050438
Laboratory TypePharmacy
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorJuliann Spier
Laboratory Phone(512) 263-3105
Laboratory LocationRandalls Pharmacy #17792301 Ranch Road 620 S, Lakeway, TX 78734
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MERRILY M SANDFORD, DDS, PA
Clinic/Center (Dental)
2303 RANCH ROAD 620 S, SUITE 140
LAKEWAY, TX 78734
Travis County (512) 263-8284
DR. MERRILY M. SANDFORD DDS
Dentist (General Practice)
2303 RANCH ROAD 620 S, SUITE 140
LAKEWAY, TX 78734
Travis County (512) 263-8284

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 1982633954. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Randalls Pharmacy #1779.

Where is Randalls Food & Drugs LP located?

Randalls Food & Drugs LP is located at 2303 Ranch Road 620 S, Lakeway, TX 78734. The listed phone number is (512) 263-3105.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2050438) is associated with this NPI, valid through November 28, 2026. 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 June 12, 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.