Active NPI
James Kevin Farrell, RPH
- Pharmacist
- Fort Duchesne, UT
National Provider Identifier
1063629426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17931
- Practice address
- 6822 East 1000 South
Fort Duchesne, UT 84026 - Phone
- (435) 725-6874
- Fax
- (435) 725-6889
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17931 | MA | Primary |
Addresses
Primary practice location
6822 East 1000 South
Fort Duchesne, UT 84026
Mailing address
PO Box 908
Vernal, UT 84078-0908
Phone (435) 789-9490
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17931 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063629426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "VERNAL",
"state": "UT",
"postal_code": "840780908",
"telephone_number": "435-789-9490",
"fax_number": "435-725-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6822 EAST 1000 SOUTH",
"city": "FORT DUCHESNE",
"state": "UT",
"postal_code": "84026",
"telephone_number": "435-725-6874",
"fax_number": "435-725-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "JAMES",
"middle_name": "KEVIN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "17931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Duchesne, UT
- DHHS IHS Phoenix Area (Unitah & Ouray Health Center)
- DHHS IHS Phoenix Area (Uintah & Ouray Health Center)
- William P Durant, MD
- Chelsea Lee Ellsworth, DNP, FNP-C, APRN
- Chace Thomas Erickson, PHARMD
- Fort Duchesne Indian Health Center Laboratory
- Fort Duchesne Indian Health Center Radiology
- Juanita M Fox, RN, CDE
- Leon Keith Hutchinson, RPH
- Paul Jones, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.