Elizabeth Haney

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

47396 Issued in TN

Practice address

2300 Lake Rd
Dyersburg, TN 38024-1830

Phone

(731) 285-3999

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Tennessee CVS Pharmacy LLC

  dba CVS Pharmacy# 10645

  • Pharmacy
  • Dyersburg, TN
  • NPI 1073997177
  NPD (past)
• Tennessee CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #17899

  • Pharmacy
  • Sevierville, TN
  • NPI 1891524815
  NPD (past)

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1952160749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S LEXINGTON ST",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241830",
            "telephone_number": "731-285-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "47396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felecia Dawn Hall, P.T.A.
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• Cecilia Aundra Hamman, PTA
• Constance Hancox, DOULA
• Hand Surgery Clinic PLLC
• Eva Maria Hardin
• Ruth Hardin
• Chelsea Harris
• Cara Hassell, MOT, OTR/L
• Caitlin Nicole Hawkins, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.