NPIMap

Individual provider Active NPI

Cynthia A Farmer, PHARMD

  • Pharmacist
  • Aberdeen, WA
National Provider Identifier
1356590665
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60064747 Issued in WA
Practice address
1812 Sumner Ave
Aberdeen, WA 98520-4602
Phone
(360) 533-1525
Fax
(360) 533-1552
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0011395 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60064747 WA
Pharmacist 183500000X PH60064747 WA Primary

Addresses

Primary practice location

1812 Sumner Ave
Aberdeen, WA 98520-4602

Mailing address

1812 Sumner Ave
Aberdeen, WA 98520-4602
Phone (360) 533-1525

Other practice location 1

172 W Chance A La Mer NW Ste 6
Ocean Shores, WA 98569-9009
Phone (360) 289-4647

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
RPH-0011395ORMDPharmacist
PH60064747WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Huttula Enterprises Inc Past Accepting new patients
Valu-Drugs Inc PastSince Sep 19, 2002 Accepting new patients
Huttula Enterprises Inc Past Accepting new patients
Ocean Shores Pharmacy PS Pharmacist Past Accepting new patients

Organizations & group practices 4

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1356590665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-1525",
            "fax_number": "360-533-1552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 W Chance A La Mer NW Ste 6",
            "address_purpose": "LOCATION",
            "city": "Ocean Shores",
            "state": "WA",
            "postal_code": "985699009",
            "country_code": "US",
            "telephone_number": "360-289-4647",
            "fax_number": "360-289-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-07-29",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011395",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60064747",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60064747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.