Organization Active NPI

Hayes Barton Pharmacy Inc-a New Corp

  • Long Term Care Pharmacy
  • Raleigh, NC
National Provider Identifier
1124696521
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HAYES BARTON PHARMACY INC-A NEW CORP
Practice address
2000 Fairview Rd Ste a
Raleigh, NC 27608-2375
Phone
(919) 832-4641
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. Brent Walker Talley, PHARMD
Title
Owner
Phone
(919) 619-0264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2000 Fairview Rd Ste a
Raleigh, NC 27608-2375

Mailing address

2000 Fairview Rd Ste a
Raleigh, NC 27608-2375
Phone (919) 832-4641

National Provider Directory

National Provider Directory
Tax ID family
Hayes Barton Pharmacy Inc-a New Corp2 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.

Locations

2000 Fairview Rd
Ste A
Raleigh, NC 27608
Phone (919) 832-4641

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1124696521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082375",
            "telephone_number": "919-832-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082375",
            "telephone_number": "919-832-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES BARTON PHARMACY INC-A NEW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-619-0264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.