Autumn Large-Fox, RPH, PHARM.D., CDE

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206469 Issued in VA

Practice address

14 E 27TH St N
Suite 1
Big Stone Gap, VA 24219-3624

Phone

(276) 523-1713

Fax

(276) 523-2931

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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

• Family Drug Inc

  • Community/Retail Pharmacy
  • Big Stone Gap, VA
  • NPI 1659479699
  NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1861492845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190777",
            "telephone_number": "276-523-1713",
            "fax_number": "276-523-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 27TH ST N",
            "address_2": "SUITE 1",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193624",
            "telephone_number": "276-523-1713",
            "fax_number": "276-523-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGE-FOX",
        "first_name": "AUTUMN",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARM.D., CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206469",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "0202206469",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA PHARMACIST",
            "identifier": "16915",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Dale Kegley, MS
• Gerald Bryan Kelley, D.D.S.
• Tanner Brent Kennedy, PT, DPT
• Kevin M Allred DDS PC
• James Patrick King, BS
• Lawrence J. Fleenor Jr
• Jessica L Lawson, BA
• Deborah Graham Ledford, BSW
• Harold Mark Lester, LPC
• Tina Marie Lewis

• Pharmacist in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.