Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679866347 Individual Practitioner Female Practitioner

Dr. Vivian Bush Randolph , PharmD

Pharmacist • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Dr. Vivian Randolph, PharmD is a registered healthcare professional specializing in Pharmacist in Pooler, GA. Practice services are available at 119 CANAL ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

119 Canal St Ste 102

Pooler, GA 313224094

Telephone 9122260857

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Pooler, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Pooler, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 023968

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License SC 11996

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shane Veal

Registered Nurse

NPI 1346176161

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 03, 2025

Registered at 119 CANAL ST STE 102, POOLER, GA 313224094 (Tel: 9122260857)

📍
Updated Business Mailing Address March 03, 2025

Registered at 119 CANAL ST STE 102, POOLER, GA 313224094 (Tel: 9122260857)

👤
Provider Name / Credentials Updated March 03, 2025

Recorded as VIVIAN RANDOLPH, PHARMD

NPI Profile Active May 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2011

Registered at 516 W HWY 80, GARDEN CITY, GA 314083108 (Tel: 9129661416)

📍
Updated Business Mailing Address May 27, 2011

Registered at 7 KETCH PL, SAVANNAH, GA 314101505 (Tel: 7068251898)

👤
Provider Name / Credentials Updated May 27, 2011

Recorded as VIVIAN BUSH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2011

Pharmacist (License #023968 in GA)

🟢
Initial NPI Registration & Enumeration May 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679866347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2011
Last Update: March 03, 2025
Sole Proprietor: Yes

Mailing Address

119 Canal St Ste 102

Pooler, GA 313224094

Phone: 9122260857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.