Haynes-Davis Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25760 Issued in TX

Legal business name

HAYNES-DAVIS INC

Practice address

4416 Briarwood Ave
Ste 100
Midland, TX 79707-2615

Phone

(432) 697-7378

Fax

(432) 618-0776

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

John Davis, BSPHARM

Title

Owner

Phone

(432) 682-2519

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SERVICE DRUG OF MIDLAND #1 Doing business as

Locations

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1841488053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51940",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797101940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 BRIARWOOD AVE",
            "address_2": "STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072615",
            "telephone_number": "432-697-7378",
            "fax_number": "432-618-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES-DAVIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-682-2519",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25760",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4546187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICE DRUG OF MIDLAND #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Hatchel
• Herminia Hermogenes Hawkins, FNP, AGPCNP-BC
• Morgan Hawkins
• Tammy Marie Hayes, SLP
• Haynes Davis Inc
• David P. Haynie, M.D.
• Laura Heald
• Healing Hands Medical Clinic
• Health Centered Dentistry PLLC
• Healthstat Onsite Clinic Crownquest

• Community/Retail Pharmacy in Midland, TX
• Providers in Midland, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.