Active NPI
Audra L Hainer, PHARM.D.
- Pharmacist
- Colonial Heights, VA
National Provider Identifier
1609143478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209233
- Practice address
- 626 Boulevard
Colonial Heights, VA 23834-3261 - Phone
- (804) 520-1571
- Fax
- (804) 520-6439
- NPI assigned
- Nov 22, 2011
- Last updated
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 0202209233 | VA | Primary |
Addresses
Primary practice location
626 Boulevard
Colonial Heights, VA 23834-3261
Mailing address
626 Boulevard
Colonial Heights, VA 23834-3261
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202209233 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1609143478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238343261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238343261",
"telephone_number": "804-520-1571",
"fax_number": "804-520-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINER",
"first_name": "AUDRA",
"middle_name": "L",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.