Organization Active NPI

Farmer'S Prescription Shop

  • Pharmacist
  • Winder, GA
National Provider Identifier
1821048935
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
002980 Issued in GA
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

Updated by the provider on Sep 23, 2024

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., CDMNPI 1902857246
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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00027805BMedicaidGA
00027805AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069029 GA DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 8921181389 Practice locations: Winder, GA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Farmers Prescription Shop Inc279 N Broad St, Winder, GA 30680-2589(770) 867-9072 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.