Active NPI
Kevin James Haylett, R.PH.
- Pharmacist
- Meadville, PA
National Provider Identifier
1609143049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039802L
- Practice address
- 629 State St
Meadville, PA 16335-2262 - Phone
- (814) 337-8880
- Fax
- (814) 333-4197
- NPI assigned
- Nov 30, 2011
- Last updated
- Nov 30, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP039802L | PA | Primary |
Addresses
Primary practice location
629 State St
Meadville, PA 16335-2262
Mailing address
629 State St
Meadville, PA 16335-2262
Phone (814) 337-8880
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP039802L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Adventures Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1609143049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 STATE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352262",
"telephone_number": "814-337-8880",
"fax_number": "814-333-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 STATE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352262",
"telephone_number": "814-337-8880",
"fax_number": "814-333-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYLETT",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039802L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
- Lori Ann Harrison, NP-C
- Alfred Leonard Hartick IV, PT
- Heather M Haskins, P.A.
- Afifa Hassan
- Nicole Christine Hawk, PHARMD
- Ericca Haynes
- Health Care Solutions at Home Inc. (Health Care Solutions)
- Lindsay Heaney
- Steven J. Heaney, M.D.
- Heartfelt Home Healthcare Services, Inc. (Heartfelt Care - Meadville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.