Jim Haynes
Individual provider Active NPI Geriatric Pharmacist · Parsons, TN
NPI 1740309541 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740309541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- 6039 (TN)
- Practice address
- 557 E Main St
Parsons, TN 38363-2752 - Phone
- (731) 847-4013
- Fax
- (731) 847-3027
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6039 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampharm, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 6039 | TN | Yes |
Addresses
Primary practice location
557 E Main St
Parsons, TN 38363-2752
Mailing address
50 Grove LN
Savannah, TN 38372-5014
Phone (731) 925-6903
Other providers in Parsons, TN
- Karen R Grisham
- William Craig Hall
- Angela Denise Hamm Tillman
- Brittany Delana Hart
- Jason Adam Haynes
- John Logan Hays
- Healing Forms
- Meah Hearington
- Andrew E Hinojosa
- Mark Holifield
All providers in Parsons, TN · Geriatric Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.