Individual provider Active NPI

Donald C Hyatt

  • Pharmacist
  • Auburn, AL
National Provider Identifier
1295054989
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12269 Issued in AL
Practice address
2320 Moores Mill Rd
Suite 100
Auburn, AL 36830-8402
Phone
(334) 887-8780
Fax
(334) 887-8786
NPI assigned
May 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 12269 AL
Pharmacist 183500000X RPH018207 GA
Pharmacist 183500000X 12269 AL Primary

Addresses

Primary practice location

2320 Moores Mill Rd
Suite 100
Auburn, AL 36830-8402

Mailing address

2320 Moores Mill Rd
Suite 100
Auburn, AL 36830-8402
Phone (334) 887-8780

Other identifiers 1

IdentifierTypeStateIssuer
121350MedicaidAL

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

LicenseStateTypeSpecialty
12269ALMDPharmacist
RPH018207GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Our Home Pharmacy Inc Current Accepting new patients

Locations

2320 Moores Mill Rd
Ste 100
Auburn, AL 36830
Phone (334) 887-8780

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1295054989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 MOORES MILL RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308402",
            "telephone_number": "334-887-8780",
            "fax_number": "334-887-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 MOORES MILL RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308402",
            "telephone_number": "334-887-8780",
            "fax_number": "334-887-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "DONALD",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "12269",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018207",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.