Active NPI
Christopher Ryan Haggard, PHARMD
- Pharmacist
- Irvine, KY
National Provider Identifier
1063969640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017787
- Practice address
- 905 Richmond Rd
Irvine, KY 40336-7230 - Phone
- (859) 314-1896
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- 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 | 017787 | KY | Primary |
Addresses
Primary practice location
905 Richmond Rd
Irvine, KY 40336-7230
Mailing address
905 Richmond Road
Irvine, KY 40336
Phone (859) 314-1896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017787 | Other | KY | KENTUCKY BOARD OF PHARMACY PHARMACIST ID |
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 |
|---|---|---|---|
| 017787 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1063969640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 RICHMOND ROAD",
"city": "IRVINE",
"state": "KY",
"postal_code": "40336",
"telephone_number": "859-314-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 RICHMOND RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367230",
"telephone_number": "859-314-1896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGARD",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "017787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF PHARMACY PHARMACIST ID",
"identifier": "017787",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.