Active NPI
Mark Joseph Hairston, RPH
- Pharmacist
- Chase City, VA
National Provider Identifier
1780230649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202012515
- Practice address
- 610 N Main St
Chase City, VA 23924-1133 - Phone
- (434) 372-4175
- NPI assigned
- Aug 15, 2019
- Last updated
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19378 | NC | |
| Pharmacist | 183500000X | 0202012515 | VA | Primary |
Addresses
Primary practice location
610 N Main St
Chase City, VA 23924-1133
Mailing address
PO Box 43
Clarksville, VA 23927-0043
Phone (434) 374-2851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19378 | NC | MD | Pharmacist |
| 0202012515 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1780230649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "CLARKSVILLE",
"state": "VA",
"postal_code": "239270043",
"telephone_number": "434-374-2851",
"fax_number": "434-374-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MAIN ST",
"city": "CHASE CITY",
"state": "VA",
"postal_code": "239241133",
"telephone_number": "434-372-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRSTON",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19378",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chase City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.