Active NPI
Gary Haworth, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Albany, OR
National Provider Identifier
1912362302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 7627
- Practice address
- 1700 Geary St SE
Albany, OR 97322-6842 - Phone
- (541) 812-5533
- Fax
- (541) 812-5545
- NPI assigned
- Dec 29, 2015
- Last updated
- Oct 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0007627 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 7627 | OR | Primary |
Addresses
Primary practice location
1700 Geary St SE
Albany, OR 97322-6842
Mailing address
1700 Geary St SE
Albany, OR 97322-6842
Phone (541) 812-5533
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 |
|---|---|---|---|
| RPH-0007627 | OR | MD | Pharmacist |
| 7627 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1912362302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 GEARY ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226842",
"telephone_number": "541-812-5533",
"fax_number": "541-812-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 GEARY ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226842",
"telephone_number": "541-812-5533",
"fax_number": "541-812-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWORTH",
"first_name": "GARY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0007627",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "7627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.