Individual provider Active NPI

Shelly Foote

  • Pharmacist
  • Rifle, CO
National Provider Identifier
1568761815
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16360 Issued in CO
Practice address
1320 Railroad Ave.
Rifle, CO 81650
Phone
(970) 625-9420
Fax
(970) 625-6185
NPI assigned
Mar 24, 2011
Last updated
Sep 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16360 CO Primary

Addresses

Primary practice location

1320 Railroad Ave.
Rifle, CO 81650

Mailing address

141 White Horse Dr
New Caste, CO 81647
Phone (615) 522-8037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16360COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC PastSince Sep 27, 2020 Accepting new patients
Dillon Companies LLC PastSince Sep 27, 2020 Accepting new patients
Dillon Companies LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1568761815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WHITE HORSE DR",
            "city": "NEW CASTE",
            "state": "CO",
            "postal_code": "81647",
            "telephone_number": "615-522-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 RAILROAD AVE.",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "81650",
            "telephone_number": "970-625-9420",
            "fax_number": "970-625-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "SHELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

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