Organization Active NPI

Foothill Pharmacy Inc

  • Pharmacy
  • Orosi, CA
National Provider Identifier
1396256236
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
55572 Issued in CA
Legal business name
FOOTHILL PHARMACY INC
Practice address
12800 Avenue 416
Orosi, CA 93647-2013
Phone
(559) 786-3078
Fax
(559) 564-7177
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Steven Richmond
Title
President
Phone
(559) 592-5222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 55572 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

12800 Avenue 416
Orosi, CA 93647-2013

Mailing address

12800 Avenue 416
Orosi, CA 93647-2013
Phone (559) 786-3078

Other identifiers 1

IdentifierTypeStateIssuer
2171067OtherPK

Other names 1

  • Foothill Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foothill Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1396256236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 AVENUE 416",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472013",
            "telephone_number": "559-786-3078",
            "fax_number": "559-564-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 AVENUE 416",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472013",
            "telephone_number": "559-786-3078",
            "fax_number": "559-564-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-592-5222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "55572",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orosi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.