Shane Fox

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS31053 Issued in FL

Practice address

4255 Alafaya TRL
Oviedo, FL 32765-9410

Phone

(407) 359-6932

Fax

(407) 359-9717

NPI assigned

Oct 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-5106

  • Community/Retail Pharmacy
  • Oviedo, FL
  • NPI 1104843507
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1255974069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 ALAFAYA TRL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659410",
            "telephone_number": "407-359-6932",
            "fax_number": "407-359-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALAFAYA TRL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659410",
            "telephone_number": "407-359-6932",
            "fax_number": "407-359-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SAFOX.s05106@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "4255 Alafaya Trl",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327659410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "safox.s05106@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "4255 Alafaya Trl",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327659410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Foret
• Ericka Avellar Foster, LMHC
• Priscilla Jaime Fotos
• Fountain Pharmacy Inc
• Cory A Fox, ATC, CSCS
• Christen Elizabeth Fraas
• Danielle Misiano Franco
• Linda L Franz, LMT
• Shannon Freeman, RBT
• Nickson Frezin

• Pharmacist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.