Active NPI
Matthew Farmer
- Pharmacist
- Burr Ridge, IL
National Provider Identifier
1982147237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.289610
- Practice address
- 901 McClintock Dr
Burr Ridge, IL 60527-0871 - Phone
- (800) 836-1147
- NPI assigned
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051.289610 | IL | |
| Pharmacist | 183500000X | 051.289610 | IL | Primary |
Addresses
Primary practice location
901 McClintock Dr
Burr Ridge, IL 60527-0871
Mailing address
901 McClintock Dr
Burr Ridge, IL 60527-0871
Phone (800) 836-1147
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.289610 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1982147237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270871",
"telephone_number": "800-836-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270871",
"telephone_number": "800-836-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051.289610",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.289610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.