Organization Active NPI

Hamilton York Haley

  • Community/Retail Pharmacy
  • Friendship, TN
National Provider Identifier
1841332798
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3078 Issued in TN
Legal business name
HAMILTON YORK HALEY
Practice address
632 Main St
Friendship, TN 38034-1966
Phone
(731) 677-2155
Fax
(731) 677-2252
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Hamilton York Haley, D. PH.NPI 1679514962
Title
Pharmacist Owner
Phone
(731) 677-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3078 TN Primary

Addresses

Primary practice location

632 Main St
Friendship, TN 38034-1966

Mailing address

632 Main St
P.O. Box 66
Friendship, TN 38034-1966
Phone (731) 677-2155

Other identifiers 2

IdentifierTypeStateIssuer
3078OtherTNPHARMACY LICENSE
4406446MedicaidTN

National Provider Directory

National Provider Directory

Locations

632 Main St
Friendship, TN 38034
Phone (731) 677-2155

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1841332798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "address_2": "P.O. BOX 66",
            "city": "FRIENDSHIP",
            "state": "TN",
            "postal_code": "380341966",
            "telephone_number": "731-677-2155",
            "fax_number": "731-677-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "FRIENDSHIP",
            "state": "TN",
            "postal_code": "380341966",
            "telephone_number": "731-677-2155",
            "fax_number": "731-677-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON YORK HALEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_middle_name": "YORK",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "731-677-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "3078",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4406446",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendship, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.