James L Hailey Jr
Organization Active NPI Community/Retail Pharmacy · Rosebud, TX
NPI 1831292978 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1831292978
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 26147 (TX)
- Legal business name
- JAMES L HAILEY JR
- Practice address
- 112 North 4TH St.
Rosebud, TX 76570 - Phone
- (254) 583-2727
- Fax
- (254) 583-2038
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- James Hailey, RPH
- Title
- Owner
- Phone
- (254) 583-2727
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 26147 | TX | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
112 North 4TH St.
Rosebud, TX 76570
Mailing address
PO Box 1089
Rosebud, TX 76570-1089
Phone (254) 583-2727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2097398 | Other | PK | |
| 143281 | Medicaid | TX |
Other names
- ROSEBUD PHARMACY
Other providers in Rosebud, TX
- Beloved and Beyond
- Joseph Lee Bielik
- Cameron Hospital Inc
- Falls Community Hospital and Clinic
- Heritage House Nursing and Rehabilitation LP
- Christine Marie Kidd
- Amanda Miller
- Jinny Narula
- Holly Portillo
- Rosebud I Enterprises, LLC
All providers in Rosebud, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. 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.