Individual provider Active NPI

Nichole Strange Farrer, PHARM. D.

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1306179312
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17117 Issued in NC
Practice address
4920-4922 Albemarle Rd
Charlotte, NC 28205-6103
Phone
(980) 237-4049
Fax
(980) 237-2967
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17117 NC Primary

Addresses

Primary practice location

4920-4922 Albemarle Rd
Charlotte, NC 28205-6103

Mailing address

8450 Bellhaven Blvd
Charlotte, NC 28216-6103
Phone (704) 392-1369

Other identifiers 1

IdentifierTypeStateIssuer
0608455MedicaidNC

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17117NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Canopus Health Inc Past Accepting new patients

Organizations & group practices 1

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1306179312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 BELLHAVEN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166103",
            "telephone_number": "704-392-1369",
            "fax_number": "704-394-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920-4922 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056103",
            "telephone_number": "980-237-4049",
            "fax_number": "980-237-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRER",
        "first_name": "NICHOLE",
        "middle_name": "STRANGE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608455",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.