RX Footcenters, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RX FOOTCENTERS, INC.

Practice address

570 N Jeff Davis Dr
Suite D
Fayetteville, GA 30214-1834

Phone

(770) 461-3360

Fax

(770) 461-4079

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Lawrence Young, C.PED.

Title

President

Phone

(770) 461-3360

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LaViri Comfort Shoes & Pedorthics Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1316018252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N JEFF DAVIS DR",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141834",
            "telephone_number": "770-461-3360",
            "fax_number": "770-461-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N JEFF DAVIS DR",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141834",
            "telephone_number": "770-461-3360",
            "fax_number": "770-461-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX FOOTCENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-461-3360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA",
            "identifier": "52682648001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "L1697",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaViri Comfort Shoes & Pedorthics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Barnett Rudd, AA-C
• Constance Russell
• Tangella E Russell, CNP
• Danielle Lauren Ruth, M.S., NCC
• Barbara Ruthberg, RN
• S R Holdings LLC
• Iram Akhtar Sachwani
• Sacred Waters, LLC
• Safe Haven Hospice & Palliative Care Inc.
• Safecare Medical Supply and Services LLC

• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.