MEDICARE: RANDYS RX AND SURGICALS INC

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	333600000X	Pharmacy	28RS00513200	NJ
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3136872	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598776015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANDYS RX AND SURGICALS INC

Provider Business Mailing Address
First Line	:	810 ABBOTT BLVD
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 ABBOTT BLVD
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4151
Country	:	US
Telephone Number	:	201-224-4700
Fax Number	:	201-224-4670

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RANDY SHRECK
Credential	:	RPH
Telephone Number	:	201-224-4700

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1952303000 — DR. HOWARD STEVEN GLAZER DDS
Practice Location Address:

810 ABBOTT BLVD
FORT LEE, NJ
07024-4151

Practice Phone: 201-224-2705
Practice Fax:

1184622748 — DR. JOHN A MOSOLINO DPM
Practice Location Address:

810 ABBOTT BLVD , SUITE G-1
FORT LEE, NJ
07024-4151

Practice Phone: 201-224-0255
Practice Fax: 201-224-0395

1538160890 — ROGER ANTONIO RIVERA MD
Practice Location Address:

810 ABBOTT BLVD
FORT LEE, NJ
07024-4151

Practice Phone: 201-224-3200
Practice Fax: 201-224-4045

1043287212 — MRS. IRINA GIRSHOVICH MD
Practice Location Address:

810 ABBOTT BLVD , SUITE 201
FORT LEE, NJ
07024-4151

Practice Phone: 201-886-9699
Practice Fax: 201-886-9015

1639198682 — HOWARD S GLAZER DDS PA
Practice Location Address:

810 ABBOTT BLVD , SUITE 302
FORT LEE, NJ
07024-4151

Practice Phone: 201-224-2705
Practice Fax: 201-224-7622

1982759346 — TAKASHI WAKAMORE, MD
Practice Location Address:

810 ABBOTT BLVD
FORT LEE, NJ
07024-4151

Practice Phone: 201-592-8555
Practice Fax: 201-592-8501

Directions to “RANDYS RX AND SURGICALS INC ” 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.