Active NPI
Callie Haynes
- Pharmacist
- Sandy, UT
National Provider Identifier
1225322597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18732
- Practice address
- 1907 E Ashley Mesa LN
Sandy, UT 84092-4362 - Phone
- (801) 906-3889
- NPI assigned
- Jun 4, 2011
- Last updated
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 18732 | CO | Primary |
Addresses
Primary practice location
1907 E Ashley Mesa LN
Sandy, UT 84092-4362
Mailing address
1907 E Ashley Mesa LN
Sandy, UT 84092-4362
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18732 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1225322597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 E ASHLEY MESA LN",
"city": "SANDY",
"state": "UT",
"postal_code": "840924362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 E ASHLEY MESA LN",
"city": "SANDY",
"state": "UT",
"postal_code": "840924362",
"telephone_number": "801-906-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "CALLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-04",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.