Edward Dean Farnes

Primary specialty

PharmacistTaxonomy code 183500000X

License

1843 Issued in AK

Practice address

10096 Kenai Spur Hwy
Kenai, AK 99611-7807

Phone

(907) 395-0871

Fax

(907) 395-4038

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

No

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Kenai, AK
  • NPI 1285965772
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2012.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1295086957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10096 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117807",
            "telephone_number": "907-395-0871",
            "fax_number": "907-395-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10096 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117807",
            "telephone_number": "907-395-0871",
            "fax_number": "907-395-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNES",
        "first_name": "EDWARD",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1843",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "2459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expedition Nutrition Services LLC
• Josephine E Fadden
• Family and Forensic Counseling Services LLC
• Crystal L Fann
• Michael Farahjood
• Krystofer Ceryn Fenn
• Susan Karleen Fisk, CPM
• Liliia Flanagan
• Fortitude, Inc
• Macie K Foster

• All providers in Kenai, AK
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.