Raymond Hawk

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

4547 Issued in WV

Practice address

97 Williams Dr
Spencer, WV 25276-1825

Phone

(304) 927-6931

Fax

(304) 927-6935

NPI assigned

Dec 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Spencer, WV
  • NPI 1285651323
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1477069920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761825",
            "telephone_number": "304-927-6931",
            "fax_number": "304-927-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761825",
            "telephone_number": "304-927-6931",
            "fax_number": "304-927-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "4547",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "507176",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Harper
• Shelly Harper
• Debra Harrison
• Harry F. Anderson, O.D.
• Amanda Haverty
• Sarah Helbig
• Brittany Hicks
• Brandy Dawn Higgins, P.T.A.
• Rebecca Lynn Hildreth
• David Lee Hopper, NP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Spencer, WV
• Providers in Spencer, WV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.