Individual provider Active NPI

Ellie Hayes

  • Pharmacy Technician
  • Saint Marys, PA
National Provider Identifier
1922623800
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
30066348 Issued in PA
Practice address
4 Railroad St
Saint Marys, PA 15857-1798
Phone
(814) 834-7915
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 30066348 PA Primary

Addresses

Primary practice location

4 Railroad St
Saint Marys, PA 15857-1798

Mailing address

174 Grace Rd
Saint Marys, PA 15857-2938
Phone (814) 594-1073

Other practice location 1

190 N Fraley St Ste 2
Kane, PA 16735-1183
Phone (814) 834-7915

Other practice location 2

107 Robin Rd
Saint Marys, PA 15857-3010
Phone (814) 834-7915

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

State licenses

LicenseStateTypeSpecialty
30066348PAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1922623800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRACE RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572938",
            "telephone_number": "814-594-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RAILROAD ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571798",
            "telephone_number": "814-834-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 N Fraley St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Kane",
            "state": "PA",
            "postal_code": "167351183",
            "country_code": "US",
            "telephone_number": "814-834-7915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Robin Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573010",
            "country_code": "US",
            "telephone_number": "814-834-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PA",
            "license": "30066348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.