Organization Active NPI

Haire Drug Company

  • Pharmacist
  • Cleveland, MS
National Provider Identifier
1881688786
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E06395 Issued in MS
Legal business name
HAIRE DRUG COMPANY
Doing business as
Haire Drug Center
Practice address
805 1St St
Cleveland, MS 38732-2309
Phone
(662) 843-4211
Fax
(662) 843-0919
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Mr. Timothy Charles Haire, R.PH.
Title
Owner
Phone
(662) 843-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X E06395 MS Primary

Addresses

Primary practice location

805 1St St
Cleveland, MS 38732-2309

Mailing address

PO Box 1738
Cleveland, MS 38732-1738
Phone (662) 843-4211

Other identifiers 2

IdentifierTypeStateIssuer
0330219MedicaidMS
2508349OtherMSNABP

Other names 1

  • Haire Drug Center Doing business as

National Provider Directory

National Provider Directory

Locations

805 1st St
Cleveland, MS 38732
Phone (662) 843-4211

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1881688786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1738",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321738",
            "telephone_number": "662-843-4211",
            "fax_number": "662-843-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 1ST ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322309",
            "telephone_number": "662-843-4211",
            "fax_number": "662-843-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRE DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "HAIRE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-843-4211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E06395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330219",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2508349",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haire Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

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