Jennifer Ann Patricia Haley, PHARM. D, CCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

049616 Issued in NY

Practice address

1875 Lexington Ave
New York, NY 10035-4733

Phone

(212) 410-0911

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• 1875 Lexington Avenue LLC of Nys

  dba Quick Rx

  • Community/Retail Pharmacy
  • New Paltz, NY
  • NPI 1033323522
  NPD (past)
• Healthy Harlem RX Corp

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1578029104
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1275791790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SENECA RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354733",
            "telephone_number": "212-410-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHARM. D, CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049616",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI02842000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Halevy, MD
• Haley Elizabeth Caruso
• Haley Psychology Services, P.C.
• Christopher Michael Haley, LMSW
• Dawn Starr Haley, PA-C
• Patrick Haley
• Rita M Haley, PHD
• Roberta Haley, LMT
• Shayna Haley, PTA
• Tara Elizabeth Haley, LCSW

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.