Individual provider Active NPI

Vickie Farnsworth, BS PHARM

  • Pharmacist
  • La Junta, CO
National Provider Identifier
1023414810
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14053 Issued in CO
Practice address
1100 Carson Ave
Dept of Pharmacy
La Junta, CO 81050-2751
Phone
(719) 383-6580
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14053 CO Primary
Pharmacist 183500000X 30914 TX

Addresses

Primary practice location

1100 Carson Ave
Dept of Pharmacy
La Junta, CO 81050-2751

Mailing address

11757 Katy Fwy
Suite 350
Houston, TX 77079-1733
Phone (866) 739-7016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
30914TXMDDentist
14053COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1023414810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 KATY FWY",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791733",
            "telephone_number": "866-739-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "address_2": "DEPT OF PHARMACY",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "VICKIE",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "14053",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.