Individual provider Active NPI

Kevin James Haylett, R.PH.

  • Pharmacist
  • Meadville, PA
National Provider Identifier
1609143049
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039802L Issued in PA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RP039802LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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

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.

Verify at the official NPI Registry.