NPIMap

Organization Active NPI

Hayes Professional Service LLC

  • Pharmacist
  • Sistersville, WV
National Provider Identifier
1245382647
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
552376 Issued in WV
Legal business name
HAYES PROFESSIONAL SERVICE LLC
Practice address
312 Diamond St
Sistersville, WV 26175-1354
Phone
(304) 652-3711
Fax
(304) 652-2371
NPI assigned
Jan 17, 2007
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Jennifer Leigh Hayes, RPHNPI 1154186864
Title
General Manager
Phone
(304) 652-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 552376 WV Primary

Addresses

Primary practice location

312 Diamond St
Sistersville, WV 26175-1354

Mailing address

312 Diamond St
Sistersville, WV 26175-1354
Phone (304) 652-3711

Other identifiers 3

IdentifierTypeStateIssuer
0141768000MedicaidWV
552376OtherWVWEST VIRGINIA STATE PHARMACY LICENSE
5011274OtherNCPDP

National Provider Directory

National Provider Directory

Locations

312 Diamond St
Sistersville, WV 26175
Phone (304) 652-3711

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1245382647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 DIAMOND ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751354",
            "telephone_number": "304-652-3711",
            "fax_number": "304-652-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 DIAMOND ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751354",
            "telephone_number": "304-652-3711",
            "fax_number": "304-652-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES PROFESSIONAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "304-652-3711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "552376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141768000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA STATE PHARMACY LICENSE",
            "identifier": "552376",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5011274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sistersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.