Active NPI
Haymon Drugs Inc
- Community/Retail Pharmacy
- Rainsville, AL
National Provider Identifier
1497855449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 112494
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Haymon
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132516 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Haymon Drugs, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322002417 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284041153 | Practice locations: Rainsville, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Rainsville, AL
- NPI 1144806159
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.