Active NPI
George R Haynes, PHARMD
- Pharmacist
- Wilmington, DE
National Provider Identifier
1952308629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044807L
- Practice address
- 701 N Clayton St
Pharmacy
Wilmington, DE 19805-3165 - Phone
- (302) 421-4295
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044807L | PA | Primary |
Addresses
Primary practice location
701 N Clayton St
Pharmacy
Wilmington, DE 19805-3165
Mailing address
4617 Sir Galahad Dr
Brookhaven, PA 19015-1527
Phone (610) 447-8875
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP044807L | Other | PA | PHARMACIST LICENSE |
| A1-0003916 | Other | DE | PHARMACIST LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044807L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1952308629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 SIR GALAHAD DR",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151527",
"telephone_number": "610-447-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N CLAYTON ST",
"address_2": "PHARMACY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053165",
"telephone_number": "302-421-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "GEORGE",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044807L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP044807L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "A1-0003916",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.