Individual provider Active NPI

William J Haines, PHARM.D.

  • Pharmacist
  • Madison, AL
National Provider Identifier
1194493502
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22008 Issued in AL
Practice address
12070 County Line Rd Ste C
Madison, AL 35756-2000
Phone
(256) 230-2631
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 22008 AL Primary

Addresses

Primary practice location

12070 County Line Rd Ste C
Madison, AL 35756-2000

Mailing address

57 Hillcrest Ave NW
Huntsville, AL 35806-4145

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

LicenseStateTypeSpecialty
22008ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. PastSince Sep 1, 2021 Accepting new patients
Publix Alabama, LLC PastSince Nov 16, 2021 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1194493502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HILLCREST AVE NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 COUNTY LINE RD STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562000",
            "telephone_number": "256-230-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "22008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.