Fox Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009370 Issued in GA

Legal business name

FOX PHARMACY LLC

Doing business as

Fox Pharmacy

Practice address

905 Parkside Walk LN
Ste 108
Lawrenceville, GA 30043-7314

Phone

(678) 373-3918

Fax

(678) 373-3921

NPI assigned

Oct 4, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Tracey

Title

Mang Member

Phone

(678) 373-3918

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FOX PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1174711170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN",
            "address_2": "STE 108",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN",
            "address_2": "STE 108",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314",
            "telephone_number": "678-373-3918",
            "fax_number": "678-373-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "TRACEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MANG MEMBER",
        "authorized_official_telephone_number": "678-373-3918"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009370",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1156389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Todd Fountain, MD
• Four Corners Primary Care Centers, Inc.
• Four Corners Primary Care Centers, Inc.
• Blake Anthony Fowler, APC, NCC
• Jayme H Fowler, M.ED., CCC-SLP
• Amy M Fox, MD
• Gina Jaynelle France, MA/CCC-SLP
• Latrishia Francis, LPC
• Reana Francis
• Thelma E Francis, PSY.D.

• Community/Retail Pharmacy in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.