1992773360 NPI number — DR. RANDOLPH VICTOR FUGIT PHARM.D.

Table of content: DR. RANDOLPH VICTOR FUGIT PHARM.D. (NPI 1992773360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992773360 NPI number — DR. RANDOLPH VICTOR FUGIT PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FUGIT
Provider First Name:
RANDOLPH
Provider Middle Name:
VICTOR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992773360
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8764 FAIRVIEW OAKS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONE TREE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80124-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-399-8020
Provider Business Mailing Address Fax Number:
303-393-4624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DENVER VETERANS AFFAIRS MEDICAL CENTER (119)
Provider Second Line Business Practice Location Address:
1055 CLERMONT STREET
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-399-8020
Provider Business Practice Location Address Fax Number:
303-393-4624
Provider Enumeration Date:
03/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P1200X , with the licence number:  6116 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)