Foothills RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FOOTHILLS RX LLC

Doing business as

Tridentcarerx

Practice address

910 Tate Blvd SE Ste 111
Hickory, NC 28602-4030

Phone

(828) 855-9767

NPI assigned

Dec 8, 2015

Last updated

May 11, 2016By 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

Ed Salyards

Title

Director / Owner

Phone

(828) 855-9767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tridentcarerx Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1215302807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 TATE BLVD SE",
            "address_2": "SUITE 111",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024030",
            "telephone_number": "828-855-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 TATE BLVD SE STE 111",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024030",
            "telephone_number": "828-855-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "SALYARDS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "828-855-9767"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tridentcarerx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Focus Behavioral Health Services LLC
• Focus Behavioral Health Services, LLC
• Foothills Internal Medicine
• Foothills Optometry P.a.
• Foothills Recovery, LLC
• Brandy M Forbes, MSN, APRN, FNP-C
• Lilla Ford, PMHNP
• Scott C Forrest
• Linda Forrette
• Forsyth Medical Group, LLC (Advanced Respiratory And Sleep Medicine)

• Long Term Care Pharmacy in Hickory, NC
• Providers in Hickory, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.