Havana Pharmacy and Medical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HAVANA PHARMACY AND MEDICAL SUPPLY

Practice address

1555 S Havana St Ste HJ
Aurora, CO 80012-5004

Phone

(303) 750-3600

Fax

(303) 750-3607

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Seyanabou Seye, RPH

Title

Pharmacy Manager/Owner

Phone

(303) 750-3600

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1649701244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 S HAVANA ST STE HJ",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125004",
            "telephone_number": "303-750-3600",
            "fax_number": "303-750-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S HAVANA ST STE HJ",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125004",
            "telephone_number": "303-750-3600",
            "fax_number": "303-750-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVANA PHARMACY AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "SEYE",
        "authorized_official_first_name": "SEYANABOU",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "303-750-3600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Royce Haukoos, PHARM.D.
• Mona Gail Hauschild, RN
• Erin Leigh Hauser-Roe, NNP
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• Community/Retail Pharmacy in Aurora, CO
• Providers in Aurora, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.