Debbie Lynn Haines, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

221505030788515 Issued in MO

Practice address

19 Public Square
Stockton, MO 65785

Phone

(417) 276-3128

Fax

(417) 276-4914

NPI assigned

Feb 24, 2010

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Zumwalt Pharmacy Inc

  dba Evans Drugs

  • Community/Retail Pharmacy
  • Stockton, MO
  • NPI 1124127691
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1891017356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657850189",
            "telephone_number": "417-276-3128",
            "fax_number": "417-276-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PUBLIC SQUARE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "65785",
            "telephone_number": "417-276-3128",
            "fax_number": "417-276-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "DEBBIE",
        "middle_name": "LYNN",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "221505030788515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Devon Evans, D.C.
• Deanna Friese, DC
• Jama R Gilpin, MD
• Jake Gorrell, PHARMD
• Emily F Green, MS CCC SLP
• Katherine Marie Hicks, CPHT
• Michelle Hoffmann, PSYD
• Neale Wayne Johnson, D.D.S.
• Sarah Lynn Jones, RBT
• Level 4 Medical Professional Corporation (Stockton Lake Walkin Clinic)

• Pharmacy Technician in Stockton, MO
• Providers in Stockton, MO by specialty
• Pharmacy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.