Active NPI
Founders RX LLC
- Long Term Care Pharmacy
- Colorado Springs, CO
National Provider Identifier
1689365355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- FOUNDERS RX LLC
- Practice address
- 4162 E Bijou St
Colorado Springs, CO 80909-6824 - Phone
- (719) 247-1108
- Fax
- (719) 425-2713
- NPI assigned
- May 15, 2023
- Last updated
- Sep 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Matthews
- Title
- Manager
- Phone
- (208) 866-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
4162 E Bijou St
Colorado Springs, CO 80909-6824
Mailing address
4162 E Bijou St
Colorado Springs, CO 80909-6824
Phone (719) 247-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231213000218 | CO | Part B Supplier - Pharmacy | 9739538968 | Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Long Term Care Pharmacy
- Colorado Springs, CO
- NPI 1194002527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696032000000",
"number": "1689365355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4162 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096824",
"telephone_number": "719-247-1108",
"fax_number": "719-425-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4162 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096824",
"telephone_number": "719-247-1108",
"fax_number": "719-425-2713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDERS RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-09-30",
"certification_date": "2023-09-30",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-866-4000"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Foundation Builders Counseling LLC
- Foundation for Successful Living
- Foundations for Families, Inc
- Foundations, Inc.
- Founders Healthcare, LLC (Preferred Homecare)
- Fountain Valley Health Care LLC (Family Success Center Behavioral Health)
- Fountain Valley Health Care LLC (Family Success Center)
- Fountain Valley School
- Fountain View Health and Rehabilitation Center LLC
- Fountain View Health and Rehabilitation Center LLC (Fountain View Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.