Active NPI
Cheryl E Haynes, RPH
- Pharmacist
- Wrangell, AK
National Provider Identifier
1144558685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1816
- Practice address
- 322 Bennett St
Island, Only Addresses Ponumbers-Pob 1421
Wrangell, AK 99929 - Phone
- (907) 874-5005
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1816 | AK | Primary |
| Pharmacist | 183500000X | 13335 | AL | |
| Pharmacist | 183500000X | 26472 | FL |
Addresses
Primary practice location
322 Bennett St
Island, Only Addresses Ponumbers-Pob 1421
Wrangell, AK 99929
Mailing address
PO Box 1222
Wrangell, AK 99929-1222
Phone (907) 347-2394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1816 | Other | AK | STATE OF ALASKA BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1816 | AK | MD | Pharmacist |
| 13335 | AL | MD | Pharmacist |
| 26472 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1144558685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1222",
"city": "WRANGELL",
"state": "AK",
"postal_code": "999291222",
"telephone_number": "907-347-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 BENNETT ST",
"address_2": "ISLAND, ONLY ADDRESSES PONUMBERS-POB 1421",
"city": "WRANGELL",
"state": "AK",
"postal_code": "99929",
"telephone_number": "907-874-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "CHERYL",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1816",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13335",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "26472",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALASKA BOARD OF PHARMACY",
"identifier": "1816",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wrangell, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.