Active NPI
Fox Drug, Inc
- Community/Retail Pharmacy
- Florence, CO
National Provider Identifier
1245325836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 430000001
- Legal business name
- FOX DRUG, INC
- Practice address
- 1100 E Main St
Florence, CO 81226 - Phone
- (719) 784-3523
- Fax
- (719) 784-6116
- NPI assigned
- Oct 3, 2006
- Last updated
- Apr 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rashelle V Trujillo
- Title
- Owner
- Phone
- (719) 784-3523
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 430000001 | CO | Primary |
Addresses
Primary practice location
1100 E Main St
Florence, CO 81226
Mailing address
1100 E Main St
Florence, CO 81226
Phone (719) 784-3523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03333150 | Medicaid | CO |
Other names 1
- FOX DRUG INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241001000084 | CO | Part B Supplier - Pharmacy | 0547791659 | Practice locations: Florence, CO |
National Provider Directory
National Provider DirectoryLocations
1100 E Main St
Florence, CO 81226
Phone (719) 784-3523
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Florence, CO
- NPI 1447024922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617753600000",
"number": "1245325836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"city": "FLORENCE",
"state": "CO",
"postal_code": "81226",
"telephone_number": "719-784-3523",
"fax_number": "719-784-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"city": "FLORENCE",
"state": "CO",
"postal_code": "81226",
"telephone_number": "719-784-3523",
"fax_number": "719-784-6116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX DRUG, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A",
"authorized_official_last_name": "TRUJILLO",
"authorized_official_first_name": "RASHELLE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-784-3523"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CO",
"license": "430000001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03333150",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOX DRUG INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Florence, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.