Haywood RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HAYWOOD RX LLC

Doing business as

Optimum Wellness Pharmacy

Practice address

8900 Ruffian LN
Newburgh, IN 47630-3424

Phone

(812) 518-3428

Fax

(812) 518-3430

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Mark HaywoodNPI 1861013781

Title

Ower/RPH

Phone

(812) 518-3428

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Optimum Wellness Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Haywood RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Haywood RX, LLC Dba Optimum Wellness Pharmacy

  • Compounding Pharmacy
  • Newburgh, IN
  • NPI 1912373358
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allen Haywood, RPH

  • Community/Retail Pharmacy
  • Evansville, IN
  • NPI 1861013781
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1811360100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-518-3428",
            "fax_number": "812-518-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-518-3428",
            "fax_number": "812-518-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWER/RPH",
        "authorized_official_telephone_number": "812-518-3428"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Tyler Haskett, BA, RBT
• Deidre Hatchett
• Brittney Hay, RN
• Choni Hayes, RBT
• Jo A Hays, COTA
• Haywood RX, LLC Dba Optimum Wellness Pharmacy
• Madison Haywood
• Baylee Head
• Hearing Wellness LLC
• Heart Group, PC

• Pharmacy in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.