Active NPI
Fred Haney, RPH
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1023349750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12450
- Practice address
- 4249 W Glendale Ave
Phoenix, AZ 85051-8137 - Phone
- (623) 937-9231
- Fax
- (623) 937-8653
- NPI assigned
- Jan 20, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12450 | AZ | Primary |
Addresses
Primary practice location
4249 W Glendale Ave
Phoenix, AZ 85051-8137
Mailing address
4249 W Glendale Ave
Phoenix, AZ 85051-8137
Phone (623) 937-9231
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 |
|---|---|---|---|
| 12450 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1023349750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4249 W GLENDALE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850518137",
"telephone_number": "623-937-9231",
"fax_number": "623-937-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4249 W GLENDALE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850518137",
"telephone_number": "623-937-9231",
"fax_number": "623-937-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "FRED",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "12450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Hands of Hope Community Care Agency (HOPE Helping Others Prosper Everyday)
- Hands on Physical Therapy
- Hands-on Medicine
- Mary Melissa Hands
- Hanei Management, LLC (Desert Peak Family Dental)
- Madison Haney
- Amy Hanford, FNP
- Mahasin M Hangalay, DDS
- Hanger Prosthetics & Orthotics West Inc (EliteCare)
- Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.