Active NPI
Lloyd Robert Haynie, RPH
- Pharmacist
- Redding, CA
National Provider Identifier
1881972214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH25553
- Practice address
- 1300 Dana Dr
Redding, CA 96003-4071 - Phone
- (530) 222-8097
- Fax
- (530) 222-8081
- NPI assigned
- Aug 3, 2011
- Last updated
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH25553 | CA | Primary |
Addresses
Primary practice location
1300 Dana Dr
Redding, CA 96003-4071
Mailing address
1432 Timber Hills Rd
Mount Shasta, CA 96067-9010
Phone (530) 926-6752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH25553 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1881972214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 TIMBER HILLS RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679010",
"telephone_number": "530-926-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DANA DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960034071",
"telephone_number": "530-222-8097",
"fax_number": "530-222-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNIE",
"first_name": "LLOYD",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH25553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.