Individual provider Active NPI

Bradley Joe Haymon

  • Pharmacist
  • Rainsville, AL
National Provider Identifier
1144806159
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13935 Issued in AL
Practice address
128 West Main Street
Rainsville, AL 35986
Phone
(256) 638-4142
Fax
(256) 638-4149
NPI assigned
Mar 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13935 AL Primary

Addresses

Primary practice location

128 West Main Street
Rainsville, AL 35986

Mailing address

PO Box 428
Rainsville, AL 35986-0428
Phone (256) 638-4142

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

LicenseStateTypeSpecialty
13935ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Haymon Drugs Inc CurrentSince Mar 28, 2021 Accepting new patients

Locations

128 Main St E
Rainsville, AL 35986
Phone (256) 638-4142

Organizations & group practices 1

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": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1144806159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860428",
            "telephone_number": "256-638-4142",
            "fax_number": "256-638-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WEST MAIN STREET",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "telephone_number": "256-638-4142",
            "fax_number": "256-638-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMON",
        "first_name": "BRADLEY",
        "middle_name": "JOE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.