NPIMap

Individual provider Active NPI

Michael Anthony Farley, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Enterprise, OR
National Provider Identifier
1245517465
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
7578 Issued in OR
Practice address
601 W North St
Enterprise, OR 97828-1427
Phone
(541) 426-3535
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7578 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 7578 OR Primary

Addresses

Primary practice location

601 W North St
Enterprise, OR 97828-1427

Mailing address

601 W North St
Enterprise, OR 97828-1427
Phone (541) 426-3535

Other practice location 1

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502

Other identifiers 1

IdentifierTypeStateIssuer
500716764MedicaidOR

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

LicenseStateTypeSpecialty
7578ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc PastSince Jul 24, 2022 Accepting new patients
Safeway Inc PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245517465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NORTH ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281427",
            "telephone_number": "541-426-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NORTH ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281427",
            "telephone_number": "541-426-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "OR",
            "postal_code": "978285124",
            "country_code": "US",
            "telephone_number": "541-426-4502",
            "fax_number": "541-426-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7578",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "7578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500716764",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.