Active NPI
Hannah Elise Haby, PHARMD
- Ambulatory Care Pharmacist
- Centralia, WA
National Provider Identifier
1417449745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH60752465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60752465 | WA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Radiation Oncology Clinic/Center
- Aberdeen, WA
- NPI 1457721250
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.