Cleveland Randolph, Jr, MD, PA
NPI 1629467782ActiveOrganization· Pharmacy· Jacksonville Beach, FL
Pharmacy in Jacksonville Beach, Florida, registered in NPPES in January 2015. The authorized official on file is Cleveland Randolph, M.D., Owner.
Overview
| NPI | 1629467782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2015 |
| Last updated in NPPES | Jan 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PH28647 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacies in Jacksonville Beach
- 1366546244
- 1528073764
- 1902828544
- 1710777545