Donnie Herbert Payne, PHARMACIST

Individual provider Active NPI Pharmacist · Hayesville, NC

NPI 1861602161 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1861602161
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
11717 (GA)
Practice address
230 Highway 64 E
Hayesville, NC 28904-5526
Phone
(828) 389-2804
Fax
(828) 389-2832
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11717GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc Past Accepting new patients
Ingles Markets Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11717 GA Yes

Addresses

Primary practice location

230 Highway 64 E
Hayesville, NC 28904-5526

Mailing address

1090 Highway 76
Hiawassee, GA 30546-1682
Phone (706) 896-2337

Other providers in Hayesville, NC

All providers in Hayesville, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.