Organization
FOOTHILL PHARMACY INC.
Active
Other names
JERRY'S DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LEIGH RICHMOND B.S. (PRESIDENT)
(559) 564-7177
Entity
Organization
Contact information
Practice address
250 E ANTELOPE AVE, SUITE B, WOODLAKE, CA 93286-1585
(559) 564-7177
(559) 564-7104
Mailing address
250 E ANTELOPE AVE, SUITE B, WOODLAKE, CA 93286-1585
(559) 564-7177
(559) 564-7104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0563191
NCPDP NUMBER
CA
05
—
PHA464180
—
CA
Enumeration date
02/26/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up