Active NPI
Hinton Ray Havens, PHARMD
- Pharmacist
- Paducah, KY
National Provider Identifier
1255920609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020741
- Practice address
- 2670 New Holt Rd Ste D
Paducah, KY 42001-7506 - Phone
- (270) 444-7070
- Fax
- (270) 444-7970
- NPI assigned
- Jan 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-16090 | MS | |
| Pharmacist | 183500000X | 43518 | TN | |
| Pharmacist | 183500000X | 020741 | KY | Primary |
Addresses
Primary practice location
2670 New Holt Rd Ste D
Paducah, KY 42001-7506
Mailing address
2670 New Holt Rd Ste D
Paducah, KY 42001-7506
Phone (270) 444-7070
Other practice location 1
604 S 12th St
Murray, KY 42071-2916
Phone (270) 753-7688
Other practice location 2
3837 Clarks River Rd
Paducah, KY 42003-0802
Phone (270) 408-3784
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020741 | KY | MD | Pharmacist |
| E-16090 | MS | MD | Pharmacist |
| 43518 | TN | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Paducah, KY
- NPI 1326495094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1255920609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 NEW HOLT RD STE D",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017506",
"telephone_number": "270-444-7070",
"fax_number": "270-444-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 NEW HOLT RD STE D",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017506",
"telephone_number": "270-444-7070",
"fax_number": "270-444-7970"
}
],
"practiceLocations": [
{
"address_1": "604 S 12th St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420712916",
"country_code": "US",
"telephone_number": "270-753-7688",
"fax_number": "270-753-6782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3837 Clarks River Rd",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420030802",
"country_code": "US",
"telephone_number": "270-408-3784",
"fax_number": "270-408-3785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVENS",
"first_name": "HINTON",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-16090",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43518",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.