Kim Annette Fox, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26015100A Issued in IN

Practice address

1527 Bashor Rd
Goshen, IN 46528-1902

Phone

(574) 533-5600

Fax

(866) 409-6494

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1386231348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465281902",
            "telephone_number": "574-533-5600",
            "fax_number": "574-533-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465281902",
            "telephone_number": "574-533-5600",
            "fax_number": "866-409-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KIM",
        "middle_name": "ANNETTE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st24rx@martins-supermarkets.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1527 Bashor Rd",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465281902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fogg Health and Wellness
• Sherry R Forzley, BCBA
• Lynda Fourman, CADAC IV
• Cory Douglas Fournier, MA-CMHC
• Scott Fowler
• Edith A Fraire, MSN, RN, FNP-BC
• Kaelyn Franks
• Henry J Frechen, M.D.
• Julia M Freeze, MD
• Fresenius Medical Care Nephrology Partners Renal Care Centers, LLC (Fresenius Medical Care Nephrology Goshen)

• Pharmacist in Goshen, IN
• Providers in Goshen, IN by specialty
• Pharmacist in Indiana

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

Verify at the official NPI Registry.