Active NPI
Farmer'S Prescription Shop
- Pharmacist
- Winder, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 002980
- Legal business name
- FARMER'S PRESCRIPTION SHOP
- Practice address
- 279 N Broad St Ste a
Winder, GA 30680-2589 - Phone
- (770) 867-9072
- Fax
- (770) 867-8229
- 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) 867-9072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 002980 | GA | Primary |
Addresses
Primary practice location
279 N Broad St Ste a
Winder, GA 30680-2589
Mailing address
279 N Broad St Ste a
Winder, GA 30680-2589
Phone (770) 867-9072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00027805B | Medicaid | GA | |
| 00027805A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069029 | GA | DME Supplier - Pharmacy | 8921181389 | Practice locations: Winder, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Farmers Prescription Shop Inc | Blood Glucose Monitors/Supplies (Non-Mail Order)|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Ortho… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
232 E Broad St
Winder, GA 30680
Phone (770) 867-9072
279 N Broad St
Ste A
Winder, GA 30680
Phone (770) 867-9072
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Winder, GA
- NPI 1902857246
-
- Pharmacist
- Winder, GA
- NPI 1235721705
-
- 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": "1821048935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 N BROAD ST STE A",
"city": "WINDER",
"state": "GA",
"postal_code": "306802589",
"telephone_number": "770-867-9072",
"fax_number": "770-867-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 N BROAD ST STE A",
"city": "WINDER",
"state": "GA",
"postal_code": "306802589",
"telephone_number": "770-867-9072",
"fax_number": "770-867-8229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMER'S PRESCRIPTION SHOP",
"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": "770-867-9072",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH., CDM"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "002980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00027805B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00027805A",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.