Organization Active NPI

Hayes Barton Pharmacy Inc-a New Corp

  • Community/Retail Pharmacy
  • Raleigh, NC
National Provider Identifier
1174570840
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05149 Issued in NC
Legal business name
HAYES BARTON PHARMACY INC-A NEW CORP
Doing business as
HAYES BARTON PHARMACY
Practice address
2000 Fairview Rd
Raleigh, NC 27608-2374
Phone
(919) 832-4641
Fax
(919) 832-0291
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Romas White, RPH
Title
President
Phone
(919) 832-4641

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05149 NC Primary

Addresses

Primary practice location

2000 Fairview Rd
Raleigh, NC 27608-2374

Mailing address

2000 Fairview Rd
Raleigh, NC 27608-2374
Phone (919) 832-4641

Other identifiers 3

IdentifierTypeStateIssuer
0928499MedicaidNC
2066653OtherPK
7701345MedicaidNC

Other names 1

  • HAYES BARTON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060907000542 NC Part B Supplier - Other 7618971524 Practice locations: Raleigh, NC
O20100930001819 NC DME Supplier - Pharmacy 7618971524 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1174570840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082374",
            "telephone_number": "919-832-4641",
            "fax_number": "919-832-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082374",
            "telephone_number": "919-832-4641",
            "fax_number": "919-832-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES BARTON PHARMACY INC-A NEW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-832-4641",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928499",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYES BARTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.