Organization Active NPI

Foothills Family Pharmacy of Lafayette, LLC

  • Community/Retail Pharmacy
  • Lafayette, CO
National Provider Identifier
1710049390
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
567 Issued in CO
Legal business name
FOOTHILLS FAMILY PHARMACY OF LAFAYETTE, LLC
Practice address
1000 W South Boulder Rd
Suite 107
Lafayette, CO 80026-2752
Phone
(303) 604-5010
Fax
(303) 604-5015
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Calvin Thomas Tyree Jr., PHARMD
Title
President
Phone
(303) 604-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 567 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd
Suite 107
Lafayette, CO 80026-2752

Mailing address

1000 W South Boulder Rd
Suite 107
Lafayette, CO 80026-2752
Phone (303) 604-5010

Other identifiers 1

IdentifierTypeStateIssuer
0619138OtherNCPDP

Other names 1

  • Foothills Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1000 W South Boulder Rd
Ste 107
Lafayette, CO 80026
Phone (303) 604-5010

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710049390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD",
            "address_2": "SUITE 107",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262752",
            "telephone_number": "303-604-5010",
            "fax_number": "303-604-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD",
            "address_2": "SUITE 107",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262752",
            "telephone_number": "303-604-5010",
            "fax_number": "303-604-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS FAMILY PHARMACY OF LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-604-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0619138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.