Active NPI
Farmer'S Homecare Pharmacy
- Long Term Care Pharmacy
- Winder, GA
National Provider Identifier
1407806540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0010303
- Legal business name
- FARMER'S HOMECARE PHARMACY
- Practice address
- 279 N Broad St Ste B
Winder, GA 30680-2589 - Phone
- (770) 867-8812
- Fax
- (770) 868-1179
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Edward Farmer, R.PH., CDM
- Title
- Pres.
- Phone
- (770) 867-8812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 0010303 | GA | Primary |
Addresses
Primary practice location
279 N Broad St Ste B
Winder, GA 30680-2589
Mailing address
279 N Broad St Ste B
Winder, GA 30680-2589
Phone (770) 867-8812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00640164A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Farmer'S Homecare Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Watkinsville, GA
- NPI 1467402578
Locations
279 N Broad St
Ste B
Winder, GA 30680
Phone (770) 867-8812
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Winder, GA
- NPI 1538751003
-
- Pharmacist
- Winder, GA
- NPI 1952087702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1407806540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 N BROAD ST STE B",
"city": "WINDER",
"state": "GA",
"postal_code": "306802589",
"telephone_number": "770-867-8812",
"fax_number": "770-868-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 N BROAD ST STE B",
"city": "WINDER",
"state": "GA",
"postal_code": "306802589",
"telephone_number": "770-867-8812",
"fax_number": "770-868-1179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMER'S HOMECARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRES.",
"authorized_official_telephone_number": "770-867-8812",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH., CDM"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "0010303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00640164A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.