DR. DEWEY K. FOUTZ III (NPI# 1053653055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053653055 |
| Entity Type | Individual |
| Full Name | DR. DEWEY K. FOUTZ III |
| Other Name | TREY FOUTZ |
| Credential | PHARMD, PHC |
| Practice Address |
1700 Cerrillos Rd Santa Fe NM 87505-3554 |
| Practice Telephone | 5059469379 |
| Practice Fax Number | 5059827065 |
| Mailing Telephone | 5059469379 |
| Mailing Fax Number | 5059827065 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PC00000258 | NM | Pharmacy Service Providers |
| Street Address |
1700 CERRILLOS RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152345 | Lori B Moore | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3554 | 2005-05-24 |
| 1497368880 | Brandon Scott | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-08-26 |
| 1720602543 | Daniel Christensen | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-06-08 |
| 1093355935 | Arrol Anthony Perry | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2020-01-08 |
| 1154982551 | Mitchel Ryan Anderson | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2019-06-26 |
| 1114496973 | Braden Jacob Wallace | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-11-21 |
| 1073009007 | Joanna Yee Tanaka | Optometrist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2018-07-02 |
| 1003325382 | Kya Norby | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2017-09-29 |
| 1679924948 | Sophia Barker | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-06-28 |
| 1942662614 | Andrew Lu | Pharmacist | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2016-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487288155 | Lee Jay Blackwell | Pharmacist | 12040 7th St, Santa Fe, TX 77510-8627 | 2020-03-02 |
| 1124594148 | Danielle Schavz | Pharmacist | 1691 Galisteo St Ste A, Santa Fe, NM 87505-4781 | 2018-10-17 |
| 1508136599 | Linh My Wilkinson | Pharmacist | 455 St Michael's Drive, Santa Fe, NM 87505 | 2012-01-06 |
| 1225343890 | Catherine Mary Morlock | Pharmacist | 5721 Airport Road, Santa Fe, NM 87507-0199 | 2010-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426016 | Natalia Carmen Mendez | Pharmacist | 409 Kathleen Pl, Farmington, NM 87401-3535 | 2020-08-04 |
| 1346897162 | Kali Autrey | Pharmacist | Junction Hwy 371 and Rt 9, Crownpoint, NM 87313 | 2019-08-26 |
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1720501489 | Julia Poynor Lawrence | Pharmacist | 2705 Highland Rd, Roswell, NM 88201-1330 | 2017-07-24 |
| 1780030973 | Welly Agate | Pharmacist | U.S. Hwy. 491 North, Shiprock, NM 87420-0160 | 2016-05-06 |
| 1467836502 | Quentin Cooper Florence | Pharmacist | 44 Calle Del Media, Tijeras, NM 87059 | 2015-07-18 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1386044006 | Richard Groh | Pharmacist | 905 Saunders Dr, Roswell, NM 88201-1002 | 2014-08-29 |
| 1518366434 | Irene Gale | Pharmacist | 3 Maize Trl, Placitas, NM 87043-8339 | 2014-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.