TOM THUMB PHARMCAY #1972 – NPI #1255377032
Pharmacy

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.

TOM THUMB PHARMCAY #1972 is a pharmacy located in MANSFIELD, TX. NPPES has assigned the NPI number 1255377032 to TOM THUMB PHARMCAY #1972 on June 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TOM THUMB PHARMCAY #1972” is a dba name, the actual legal business name for this organization is RANDALLS FOOD & DRUGS LP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was last updated on Jul 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TOM THUMB PHARMCAY #1972 below.

NPI Profile for
RANDALLS FOOD & DRUGS LP

NPI Number
1255377032
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RANDALLS FOOD & DRUGS LP
Doing Business As (dba): TOM THUMB PHARMCAY #1972
Primary location
980 HIGHWAY 287 N
MANSFIELD, TX 76063-2602
Phone: (817) 453-0838 Fax: (817) 453-6779
Mailing address
250 E PARKCENTER BLVD
BOISE, ID 83706-3940
Phone: Fax:
Organization Subpart
No
Authorized Official
KATHY GIANNAKOPOULOS
ENROLLMENTS MANAGER
Phone: (208) 395-3954
Updated
Certification Date
Jul 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TOM THUMB PHARMCAY #1972

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherOTHER ID NUMBER-COMMERCIAL NUMBER4521452
medicaidTX100259
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
333600000X
- Pharmacy
TX 21507
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.