NPIMap

Individual provider Active NPI

Sofia Osman Farah

  • Pharmacist
  • Covington, GA
National Provider Identifier
1407451792
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH024550 Issued in GA
Practice address
10267 Ga-36
Covington, GA 30014
Phone
(770) 788-9430
Fax
(770) 780-0187
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024550 GA Primary

Addresses

Primary practice location

10267 Ga-36
Covington, GA 30014

Mailing address

10267 Ga-36
Covington, GA 30014
Phone (770) 788-9430

Other identifiers 1

IdentifierTypeStateIssuer
9291OtherGASELF

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL atlanta Health Information Exchange (HIE)
SOAP URL atlanta Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
RPH024550GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farah Pharmacy LLC Current Accepting new patients
Camp Creek Pharmacy LLC Current Accepting new patients
Georgia CVS Pharmacy, L.L.C. PastSince Dec 6, 2020 Accepting new patients
Georgia CVS Pharmacy L.L.C PastSince Dec 6, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1407451792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10267 GA-36",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "770-788-9430",
            "fax_number": "770-780-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10267 GA-36",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "770-788-9430",
            "fax_number": "770-780-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "SOFIA",
        "middle_name": "OSMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF",
            "identifier": "9291",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "atlanta",
            "affiliation": "N",
            "endpointDescription": "CVSHEALTH,COM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10267 GA-36",
            "city": "covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "atlanta",
            "affiliation": "N",
            "endpointDescription": "CVSHEALTH.COM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10267 GA-36",
            "city": "covington",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.