IndividualActive
Randolph Margrave, RPH
NPI 1679118343 · Pharmacist · Holly Hill, FL
Provider details
- NPI number
- 1679118343
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- PU0002896 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1702 Ridgewood Ave Ste C
Holly Hill, FL 32117-5402
Phone: (386) 677-7377
Fax: (844) 677-0739
Street-level locationGet directions
Mailing address
3742 Cardinal Blvd
Daytona Beach, FL 32118-7204
Additional practice locations (1)
- 1702 Ridgewood Ave Ste BHolly Hill, FL 32117-1783Phone: (904) 458-5444Fax: (386) 760-7417
Registry dates
- Enumerated
- 2019-11-16
- Last updated
- 2019-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.