Organization Active NPI

Fox Drug, Inc

  • Community/Retail Pharmacy
  • Florence, CO
National Provider Identifier
1245325836
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
430000001 Issued in CO
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Rashelle V TrujilloNPI 1447024922
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03333150MedicaidCO

Other names 1

  • FOX DRUG INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001000084 CO Part B Supplier - Pharmacy 0547791659 Practice locations: Florence, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.