Individual provider Active NPI

Hannah Elise Haby, PHARMD

  • Ambulatory Care Pharmacist
  • Centralia, WA
National Provider Identifier
1417449745
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PH60752465 Issued in WA
Practice address
1800 Cooks Hill Rd Ste B
Centralia, WA 98531
Phone
(360) 827-6616
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X PH60752465 WA Primary

Addresses

Primary practice location

1800 Cooks Hill Rd Ste B
Centralia, WA 98531

Mailing address

1800 Cooks Hill Rd Ste B
Centralia, WA 98531-9162
Phone (360) 827-6616

Other practice location 1

410 Providence Ln NE Fl 1
Olympia, WA 98506-6927
Phone (360) 493-5369

Other practice location 2

1800 Cooks Hill Rd Ste B
Centralia, WA 98531
Phone (360) 827-6616

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

LicenseStateTypeSpecialty
PH60752465WAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington PastSince Oct 13, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hhaby924654@wm.providencedirect.org

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1417449745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319162",
            "telephone_number": "360-827-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-827-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Providence Ln NE Fl 1",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985066927",
            "country_code": "US",
            "telephone_number": "360-493-5369",
            "fax_number": "360-493-7154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Cooks Hill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "98531",
            "country_code": "US",
            "telephone_number": "360-827-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABY",
        "first_name": "HANNAH",
        "middle_name": "ELISE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH60752465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.