Active NPI
Foothills Family Pharmacy of Lafayette, LLC
- Community/Retail Pharmacy
- Lafayette, CO
National Provider Identifier
1710049390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 567
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0619138 | Other | NCPDP |
Other names 1
- Foothills Family Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.