Individual provider Active NPI

Timothy Alden Hayes, R.PH.

  • Pharmacist
  • Fort Worth, TX
National Provider Identifier
1215250840
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16392 Issued in TX
Practice address
5420 Paloma Blanca Dr
Fort Worth, TX 76179-7500
Phone
(817) 237-5016
Fax
(817) 238-7313
NPI assigned
Mar 10, 2010
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16392 TX Primary
Pharmacist 183500000X PS 26488 FL

Addresses

Primary practice location

5420 Paloma Blanca Dr
Fort Worth, TX 76179-7500

Mailing address

5420 Paloma Blanca Dr
Fort Worth, TX 76179-7500
Phone (817) 237-5016

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

LicenseStateTypeSpecialty
16392TXMDGeneral Practice Dentistry
PS 26488FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes Pharmacy Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1215250840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 PALOMA BLANCA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797500",
            "telephone_number": "817-237-5016",
            "fax_number": "817-238-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 PALOMA BLANCA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797500",
            "telephone_number": "817-237-5016",
            "fax_number": "817-238-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TIMOTHY",
        "middle_name": "ALDEN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "16392",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 26488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.