Active NPI
Ahmed Farah, PHARMD
- Pharmacist
- Willmar, MN
National Provider Identifier
1689212573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124668
- Practice address
- 700 19TH Ave SE
Willmar, MN 56201-5499 - Phone
- (320) 231-3456
- NPI assigned
- Dec 11, 2019
- Last updated
- Oct 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR69587 | ME | |
| Pharmacist | 183500000X | 124668 | MN | Primary |
Addresses
Primary practice location
700 19TH Ave SE
Willmar, MN 56201-5499
Mailing address
72 Central St Apt 6
Westbrook, ME 04092-2841
Phone (619) 379-7598
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR69587 | ME | MD | Pharmacist |
| 124668 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1689212573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CENTRAL ST APT 6",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040922841",
"telephone_number": "619-379-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH AVE SE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015499",
"telephone_number": "320-231-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "AHMED",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-11",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR69587",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.