Active NPI
Debra Farr, RPH.,BS PHARM. MTMCP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wilsonville, OR
National Provider Identifier
1639393010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 8159
- Practice address
- 29345 SW Town Center Loop E Ste 214
Wilsonville, OR 97070-8486 - Phone
- (503) 582-2202
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00020916 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 8159 | OR | Primary |
| Geriatric Pharmacist | 1835G0303X | 8159 | OR |
Addresses
Primary practice location
29345 SW Town Center Loop E Ste 214
Wilsonville, OR 97070-8486
Mailing address
21925 SW 109TH Ter
Tualatin, OR 97062-6040
Phone (503) 708-6446
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00020916 | WA | MD | Pharmacist |
| 8159 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1639393010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21925 SW 109TH TER",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970626040",
"telephone_number": "503-708-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29345 SW TOWN CENTER LOOP E STE 214",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708486",
"telephone_number": "503-582-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "DEBRA",
"credential": "RPH.,BS PHARM. MTMCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00020916",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "8159",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "OR",
"license": "8159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.