Active NPI
Jesse Leigh Haines, PHARMD
- Pharmacist
- East Jordan, MI
National Provider Identifier
1962875989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023426A
- Practice address
- 601 Bridge St
East Jordan, MI 49727-9383 - Phone
- (231) 536-2206
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302044126 | MI | |
| Pharmacist | 183500000X | 051.297564 | IL | |
| Pharmacist | 183500000X | 0202211062 | VA | |
| Pharmacist | 183500000X | RP0007646 | WV | |
| Pharmacist | 183500000X | 26023426A | IN | Primary |
Addresses
Primary practice location
601 Bridge St
East Jordan, MI 49727-9383
Mailing address
601 Bridge St
East Jordan, MI 49727-9383
Phone (231) 536-2206
Other practice location 1
4955 S M-88 Highway
Bellaire, MI 49615
Phone (231) 533-8649
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 |
|---|---|---|---|
| 051.297564 | IL | MD | Pharmacist |
| 26023426A | IN | MD | Pharmacist |
| 5302044126 | MI | MD | Pharmacist |
| 0202211062 | VA | MD | Pharmacist |
| RP0007646 | WV | MD | Pharmacist |
Interoperability endpoints
- jesse.hainespharmd.p1@direct.ejfhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1962875989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BRIDGE ST",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497279383",
"telephone_number": "231-536-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BRIDGE ST",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497279383",
"telephone_number": "231-536-2206"
}
],
"practiceLocations": [
{
"address_1": "4955 S M-88 Highway",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "MI",
"postal_code": "49615",
"country_code": "US",
"telephone_number": "231-533-8649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAINES",
"first_name": "JESSE",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302044126",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.297564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211062",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007646",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023426A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Jordan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.