MEDICARE: RANDOLPHS RX PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	054011619	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2020858	OTHER		PK

General Provider Information

NPI Number	:	1316045347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANDOLPHS RX PHARMACY

Provider Business Mailing Address
First Line	:	2751 W 51ST ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-2136
Country	:	US
Telephone Number	:	773-434-7186
Fax Number	:	773-778-7585

Provider Business Practice Location Address
First Line	:	2751 W 51ST ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-2136
Country	:	US
Telephone Number	:	773-434-7186
Fax Number	:	773-778-7585

Authorized Official
Title or Position	:	PRESIDENT/ PIC
Name	:	HELEN RANDOLPH
Credential	:	PHARM.D.
Telephone Number	:	773-434-7186

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	04/27/2017

Similar Medicare Providers

1336390368 — DR. HELEN ASBERRY RANDOLPH PHAM.D.
Practice Location Address:

2751 W 51ST ST
CHICAGO, IL
60632-2136

Practice Phone: 773-434-7186
Practice Fax: 773-778-7585

1760834436 — ADVANCED MEDICAL CARE CHICAGO LLC
Practice Location Address:

2751 W 51ST ST
CHICAGO, IL
60632-2136

Practice Phone: 847-429-0571
Practice Fax:

1518969518 — GHOUSIA BEGUM ALI MD
Practice Location Address:

2136 W DEVON AVE
CHICAGO, IL
60659-2127

Practice Phone: 773-274-3060
Practice Fax:

1972623528 — COOK COUNTY
Practice Location Address:

4934 S WABASH AVE RM 165
CHICAGO, IL
60615-2136

Practice Phone: 773-548-3651
Practice Fax:

1336391119 — HBG SERVICES INC
Practice Location Address:

2136 W 95TH ST STE 201
CHICAGO, IL
60643-1000

Practice Phone: 773-629-6814
Practice Fax: 773-840-7950

1568796829 — CONCISE HEALTH CARE INC
Practice Location Address:

2136 W 95TH ST , SUITE 202
CHICAGO, IL
60643-1000

Practice Phone: 773-941-5840
Practice Fax: 773-941-5856

Directions to “RANDOLPHS RX PHARMACY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.