Hayden Family Pharmacy P C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112598 Issued in AL

Legal business name

HAYDEN FAMILY PHARMACY P C

Doing business as

Hayden Health Mart
Hayden Pharmacy

Practice address

4086 State Highway 160
Hayden, AL 35079-6551

Phone

(205) 590-1515

Fax

(205) 590-2525

NPI assigned

Oct 30, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HAYDEN FAMILY PHARMACY PCAs reported in NPPES

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

Authorized official

Name

Mrs. Jennifer Metcalf, R. PH.NPI 1598355075

Title

President

Phone

(205) 590-1515

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Hayden Health Mart Doing business as
• Hayden Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hayden Family Pharmacy PC

  • Durable Medical Equipment & Medical Supplies
  • Hayden, AL
  • NPI 1619155744

  O20100930099934

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hayden Family Pharmacy PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Metcalf, RPH

  • Pharmacist
  • Hayden, AL
  • NPI 1598355075
  Authorized official Same address or phone

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

{
    "created_epoch": "1130630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639160732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "HAYDEN",
            "state": "AL",
            "postal_code": "350790665",
            "telephone_number": "205-590-1515",
            "fax_number": "205-590-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 STATE HIGHWAY 160",
            "city": "HAYDEN",
            "state": "AL",
            "postal_code": "350796551",
            "telephone_number": "205-590-1515",
            "fax_number": "205-590-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN FAMILY PHARMACY P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYDEN FAMILY PHARMACY PC",
        "enumeration_date": "2005-10-30",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-590-1515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D2107085",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003625",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0132819",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayden Health Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce D Box, LICSW-S, PIP
• Kristin Leigh Bryan, SBD
• Elizabeth Cooley, MS, RDN, LD, IBCLC
• Jennifer Lett Cope
• Lori Garrison
• Hayden Family Pharmacy PC
• Angel Ingle, FNP-BC
• Kimberly James, PHARMD
• Jessica Archer Johnson
• Paula Denise King, RN

• Community/Retail Pharmacy in Hayden, AL
• Providers in Hayden, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.