Active NPI
Vicky Massey Havron, PHARMD
- Pharmacist
- Huntsville, AL
National Provider Identifier
1174127203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11584
- Practice address
- 2001 Cecil Ashburn Dr SE
Huntsville, AL 35802-2557 - Phone
- (256) 880-1470
- NPI assigned
- Nov 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11584 | AL | Primary |
Addresses
Primary practice location
2001 Cecil Ashburn Dr SE
Huntsville, AL 35802-2557
Mailing address
402 Legacy Farm Dr SE
Huntsville, AL 35802-2591
Phone (256) 683-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11584 | Other | AL | PHARMACIST |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11584 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1174127203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LEGACY FARM DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022591",
"telephone_number": "256-683-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CECIL ASHBURN DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022557",
"telephone_number": "256-880-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVRON",
"first_name": "VICKY",
"middle_name": "MASSEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "11584",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.