Active NPI
Eric Vern Fox, RPH
- Pharmacist
- Curwensville, PA
National Provider Identifier
1215533591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043882L
- Practice address
- 360 Thompson St
Curwensville, PA 16833-1158 - Phone
- (814) 236-1820
- Fax
- (814) 236-9096
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043882L | PA | Primary |
Addresses
Primary practice location
360 Thompson St
Curwensville, PA 16833-1158
Mailing address
811 Carbon Mine Rd
Clearfield, PA 16830-4205
Phone (610) 804-7028
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPI013999 | Other | PA | AUTHORIZATION TO ADMINISTER INJECTABLES |
| RP043882L | Other | PA | PENNSYLVANIA PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043882L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gathagan Investment Company LP | Current | Accepting new patients | |
| Gathagan Investment Company LP | Past | Accepting new patients |
Locations
360 Thompson St
Curwensville, PA 16833
Phone (814) 236-1820
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Curwensville, PA
- NPI 1730938853
-
- Community/Retail Pharmacy
- Curwensville, PA
- NPI 1497800593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1215533591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 CARBON MINE RD",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168304205",
"telephone_number": "610-804-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 THOMPSON ST",
"city": "CURWENSVILLE",
"state": "PA",
"postal_code": "168331158",
"telephone_number": "814-236-1820",
"fax_number": "814-236-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ERIC",
"middle_name": "VERN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043882L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
"identifier": "RPI013999",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA PHARMACIST LICENSE",
"identifier": "RP043882L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Curwensville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.