Eric V Fox PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415766L Issued in PA

Legal business name

ERIC V FOX PA

Doing business as

Medicine Shoppe

Practice address

578 Lancaster Ave
Berwyn, PA 19312-1664

Phone

(610) 240-0460

Fax

(610) 240-0251

NPI assigned

Nov 15, 2006

Last updated

May 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Fox

Title

Owner

Phone

(610) 240-0460

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1417029216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121664",
            "telephone_number": "610-240-0460",
            "fax_number": "610-240-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC V FOX PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-240-0460"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415766L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3978701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01847005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3978701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Duncan, RN
• Rachael Mary Easton, MD
• Elevate Strength & Rehab
• Barbara Ellis, PSY.D., ED.M.
• Elizabeth Ellis
• Theresa Marie Estrada, RD, LDN
• Daniel Eric Everitt, M.D.
• Miyoshi Faggins, M.ED
• Amanda Lea Farrell, MSN, CRNP
• Eva Fedick, LSW, M.ED

• Community/Retail Pharmacy in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.