Halo RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

235328 Issued in OK

Legal business name

HALO RX LLC

Doing business as

Halo Rx

Practice address

703 N Broadway Ave
Ste 3
Ada, OK 74820-3457

Phone

(580) 421-9885

Fax

(580) 421-9732

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth Bailes

Title

Pharmacist in Charge

Phone

(580) 421-9885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Halo Rx Doing business as

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1790939494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N BROADWAY AVE",
            "address_2": "STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203457",
            "telephone_number": "580-421-9885",
            "fax_number": "580-421-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N BROADWAY AVE",
            "address_2": "STE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203457",
            "telephone_number": "580-421-9885",
            "fax_number": "580-421-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "BAILES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "580-421-9885"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OK",
            "license": "235328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Michael Hail
• Jason H Hale, DC
• Alicia Leann Hall, MSPS
• Bruce Alan Hall, D.D.S.
• Halo Compounding
• Olivia Hamilton
• Shelia Hamilton
• Amanda Danielle Hammack, BS, BHRS, CMD
• Mary Hampton
• Sydney D Hampton

• Long Term Care Pharmacy in Ada, OK
• Providers in Ada, OK by specialty
• Long Term Care Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.