Stacey Hayes Whiteis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

11776 Issued in SC

Practice address

707 Church St
Conway, SC 29526-4824

Phone

(843) 248-6302

Fax

(843) 248-0752

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Amanda Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1760730568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264824",
            "telephone_number": "843-248-6302",
            "fax_number": "843-248-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEIS",
        "first_name": "STACEY",
        "middle_name": "HAYES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HAYES",
            "middle_name": "AMANDA",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frankie D White
• James M White
• Kristin White, OD
• Meghan Brianna White, CRNA
• Rosa Belle Lee White
• Robert Bryan Whitten, D.M.D., M.S.D.
• Christian A. Whittington, M.D.
• Debra Wilden, BSN
• Sukena Sophia Wiley
• Kristyn Ann Wilhelm, M.ED., ATC, SCAT

• Pharmacist in Conway, SC
• Providers in Conway, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.