Footpharmacy Direct

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPED-3-008

Legal business name

FOOTPHARMACY DIRECT

Practice address

906 W McDermott Dr
Ste.116-312
Allen, TX 75013-6510

Phone

(800) 860-2773

Fax

(469) 675-0831

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Randall Lee Pennington, C.O.S.

Title

Sales Manager

Phone

(800) 860-2773

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Orthotic World Other name

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1902084734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR",
            "address_2": "STE.116-312",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136510",
            "telephone_number": "800-860-2773",
            "fax_number": "469-675-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W MCDERMOTT DR",
            "address_2": "STE.116-312",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136510",
            "telephone_number": "800-860-2773",
            "fax_number": "469-675-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPHARMACY DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SALES MANAGER",
        "authorized_official_telephone_number": "800-860-2773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.S."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPED-3-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "519675848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90079283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotic World",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asten Floyd, RPH, PHARMD
• Brendan Connor Flynn
• Parker Schofield Folliard, DPT
• Victor N Fombo, NP
• Emilia Lusia Fomuso, PHARMD
• Kyle Forbes, PTA
• Forever Wellness
• Lindsay Forgione
• Jere Dee Forman, LPC-SUPERVISOR
• Nicole Elizbeth Forret I, RBT

• Prosthetic/Orthotic Supplier in Allen, TX
• Providers in Allen, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.