Organization Active NPI

Haire Drug Center LLC

  • Community/Retail Pharmacy
  • Cleveland, MS
National Provider Identifier
1366064511
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAIRE DRUG CENTER LLC
Practice address
805 1St St
Cleveland, MS 38732-2309
Phone
(662) 843-4211
Fax
(662) 843-0919
NPI assigned
May 11, 2020
Organization subpart
Yes
Parent organization
NORTH SUNFLOWER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Zachery Warrington, PHARMD
Title
Pharmacist in Charge
Phone
(662) 719-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

805 1St St
Cleveland, MS 38732-2309

Mailing address

805 1St St
Cleveland, MS 38732-2309
Phone (662) 843-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200611002237 MS Part B Supplier - Pharmacy 8224450622 Practice locations: Cleveland, MS

National Provider Directory

National Provider Directory
Part of
Sunflower Greenwood Clinic

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1366064511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 1ST ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322309",
            "telephone_number": "662-843-4211",
            "fax_number": "662-843-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 1ST ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322309",
            "telephone_number": "662-843-4211",
            "fax_number": "662-843-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRE DRUG CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SUNFLOWER MEDICAL CENTER",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "WARRINGTON",
        "authorized_official_first_name": "ZACHERY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "662-719-6895",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.