Individual provider Active NPI

Lyle A Haflett, R PH

  • Pharmacist
  • Troy, PA
National Provider Identifier
1073974655
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP026498L Issued in PA
Practice address
14 Elmira St
Troy, PA 16947-1228
Phone
(570) 297-2848
Fax
(570) 297-2841
NPI assigned
Mar 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP026498L PA Primary

Addresses

Primary practice location

14 Elmira St
Troy, PA 16947-1228

Mailing address

14 Elmira St
Troy, PA 16947-1228
Phone (570) 297-2848

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

LicenseStateTypeSpecialty
RP026498LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cookes Pharmacy Inc Past Accepting new patients
Cookes Pharmacy Inc PastSince Mar 20, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1073974655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ELMIRA ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471228",
            "telephone_number": "570-297-2848",
            "fax_number": "570-297-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ELMIRA ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471228",
            "telephone_number": "570-297-2848",
            "fax_number": "570-297-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFLETT",
        "first_name": "LYLE",
        "middle_name": "A",
        "credential": "R PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP026498L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.