Hayden Family Pharmacy P C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113797 Issued in AL

Legal business name

HAYDEN FAMILY PHARMACY P C

Doing business as

Shipp's Discount Pharmacy

Practice address

88 White Oak TRL
Warrior, AL 35180-4214

Phone

(205) 590-1100

Fax

(205) 590-1120

NPI assigned

Aug 23, 2011

Last updated

Sep 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer MetcalfNPI 1598355075

Title

President

Phone

(205) 590-1100

Specialties & licenses 2

Addresses

Other names 1

• SHIPP'S DISCOUNT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hayden Family Pharmacy PC

  • Durable Medical Equipment & Medical Supplies
  • Hayden, AL
  • NPI 1619155744

  O20120629000182

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hayden Family Pharmacy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hayden Family Pharmacy PC

  • Durable Medical Equipment & Medical Supplies
  • Hayden, AL
  • NPI 1619155744
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Metcalf, RPH

  • Pharmacist
  • Hayden, AL
  • NPI 1598355075
  NPD (past) Authorized official
• Michael Andrew Allison

  • Pharmacist
  • Warrior, AL
  • NPI 1356931828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1063792018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "HAYDEN",
            "state": "AL",
            "postal_code": "350790665",
            "telephone_number": "205-590-1100",
            "fax_number": "205-590-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WHITE OAK TRL",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351804214",
            "telephone_number": "205-590-1100",
            "fax_number": "205-590-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN FAMILY PHARMACY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-590-1100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIPP'S DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHIPP'S DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashton Maryedith Harden, NP-C
• Christopher O Harper, MD
• Oliver H Harper, MD
• Judson Lee Harrison, O.D.
• Marsha Ann Hawkins, PMHNP-BC
• Lydia Haynes, PT
• Amanda Henry, RN, BSN, IBCLC
• Kelli Hixson, DMD
• Meagan Carbonie Horton, CRNP
• Jessica Weldon Jamerson

• Community/Retail Pharmacy in Warrior, AL
• Providers in Warrior, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.