Hallie Rae Fanning, PHARM. D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

2018024631 Issued in MO

Practice address

522 N New Ballas Rd Ste 206
Saint Louis, MO 63141-6819

Phone

(314) 499-1227

Fax

(314) 499-1228

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1093271843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 HEPPERMAN RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855314",
            "telephone_number": "573-202-9152",
            "fax_number": "636-278-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-499-1227",
            "fax_number": "314-499-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "HALLIE",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2018024631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Fan, MD
• Kelly Danni Fan
• Lea Fang, OTR
• Teri Fanizza
• Katherine Fann, MS, RD, LD, CSWOMCDE
• Matt Fanning, MSW, LCSW
• Carmen Fanous, MD
• Cynthia Fantini
• Donna Fantozzi, LPC
• Faquir Muhammud, MD, Inc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.