Organization Active NPI

TRX Family Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Boulder, CO
National Provider Identifier
1801958483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
519 Issued in CO
Legal business name
TRX FAMILY PHARMACY, INC.
Doing business as
Foothills Family Pharmacy
Practice address
4745 Arapahoe Ave
Suite 120
Boulder, CO 80303-1080
Phone
(720) 565-9900
Fax
(720) 565-9925
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
(720) 565-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 519 CO Primary

Addresses

Primary practice location

4745 Arapahoe Ave
Suite 120
Boulder, CO 80303-1080

Mailing address

4745 Arapahoe Ave
Suite 120
Boulder, CO 80303-1080
Phone (720) 565-9900

Other identifiers 1

IdentifierTypeStateIssuer
70928321MedicaidCO

Other names 1

  • Foothills Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4745 Arapahoe Ave
Ste 120
Boulder, CO 80303
Phone (720) 214-0963

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": "1801958483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031080",
            "telephone_number": "720-565-9900",
            "fax_number": "720-565-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031080",
            "telephone_number": "720-565-9900",
            "fax_number": "720-565-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRX FAMILY PHARMACY, INC.",
        "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": "720-565-9900",
        "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": "519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70928321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, 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.