Organization Active NPI

Haymon Drugs Inc

  • Community/Retail Pharmacy
  • Rainsville, AL
National Provider Identifier
1497855449
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112494 Issued in AL
Legal business name
HAYMON DRUGS INC
Practice address
128 Main St E
Rainsville, AL 35986-4555
Phone
(256) 638-4142
Fax
(256) 638-4149
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Bradley HaymonNPI 1144806159
Title
Owner/Pharmacist
Phone
(256) 638-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112494 AL Primary

Addresses

Primary practice location

128 Main St E
Rainsville, AL 35986-4555

Mailing address

PO Box 428
Rainsville, AL 35986-0428
Phone (256) 638-4142

Other identifiers 1

IdentifierTypeStateIssuer
0132516OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Haymon Drugs, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322002417 AL Part B Supplier - Mass Immunization (Roster Biller Only) 4284041153 Practice locations: Rainsville, AL

National Provider Directory

National Provider Directory

Locations

128 Main St E
Rainsville, AL 35986
Phone (256) 638-4142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1497855449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860428",
            "telephone_number": "256-638-4142",
            "fax_number": "256-638-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAIN ST E",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864555",
            "telephone_number": "256-638-4142",
            "fax_number": "256-638-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYMON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HAYMON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "256-638-4142"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0132516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haymon Drugs, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.