NPIMap

Organization Active NPI

Haley Drug

  • Pharmacist
  • Temple, OK
National Provider Identifier
1629113105
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
651293 Issued in OK
Legal business name
HALEY DRUG
Practice address
102 S Commercial St
Temple, OK 73568-0130
Phone
(580) 342-6691
Fax
(580) 342-6452
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Wayne Haley, DPH
Title
Pharmacist Owner
Phone
(580) 342-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 651293 OK Primary

Addresses

Primary practice location

102 S Commercial St
Temple, OK 73568-0130

Mailing address

PO Box 130
Temple, OK 73568-0130
Phone (580) 342-6691

Other identifiers 1

IdentifierTypeStateIssuer
3707950OtherOKNABP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629113105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "TEMPLE",
            "state": "OK",
            "postal_code": "735680130",
            "telephone_number": "580-342-6691",
            "fax_number": "580-342-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S COMMERCIAL ST",
            "city": "TEMPLE",
            "state": "OK",
            "postal_code": "735680130",
            "telephone_number": "580-342-6691",
            "fax_number": "580-342-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "580-342-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "651293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3707950",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.