Active NPI
Haleigh L Blackard, PHARMD
- Pharmacist
- Winnsboro, LA
National Provider Identifier
1063120699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024465
- Practice address
- 1513 Eighth St
Winnsboro, LA 71295-3905 - Phone
- (318) 435-9489
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 | PST.024465 | LA | Primary |
Addresses
Primary practice location
1513 Eighth St
Winnsboro, LA 71295-3905
Mailing address
6320 Dogwood Hills Rd
Bastrop, LA 71220-7732
Other practice location 1
7623 Highway 165
Columbia, LA 71418-3321
Phone (318) 649-6410
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 |
|---|---|---|---|
| PST.024465 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medicine Cabinet of Caldwell, LLC | Past | Accepting new patients | |
| Adams Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Medicine Cabinet
- Community/Retail Pharmacy
- Columbia, LA
- NPI 1154920650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1063120699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 DOGWOOD HILLS RD",
"city": "BASTROP",
"state": "LA",
"postal_code": "712207732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 EIGHTH ST",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712953905",
"telephone_number": "318-435-9489"
}
],
"practiceLocations": [
{
"address_1": "7623 Highway 165",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "LA",
"postal_code": "714183321",
"country_code": "US",
"telephone_number": "318-649-6410",
"fax_number": "318-649-6442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKARD",
"first_name": "HALEIGH",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.