Active NPI
Michael S Hayes
- Pharmacist
- South Glens Falls, NY
National Provider Identifier
1124211693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033336
- Practice address
- 27-41 Gansevoort Rd
South Glens Falls, NY 12803-5256 - Phone
- (518) 798-2847
- NPI assigned
- Aug 19, 2007
- Last updated
- Aug 19, 2007
- 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 | 033336 | NY | Primary |
Addresses
Primary practice location
27-41 Gansevoort Rd
South Glens Falls, NY 12803-5256
Mailing address
PO Box 1000
Ms 3000
Portland, ME 04104-5005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033336 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187481600000",
"number": "1124211693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "MS 3000",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27-41 GANSEVOORT RD",
"city": "SOUTH GLENS FALLS",
"state": "NY",
"postal_code": "128035256",
"telephone_number": "518-798-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MICHAEL",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-19",
"last_updated": "2007-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "033336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.