Individual provider Active NPI

Payton Nicole Hanby, PHARMD

  • Pharmacist
  • Fayetteville, AR
National Provider Identifier
1992438394
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD16205 Issued in AR
Practice address
2515 E Huntsville Rd
Fayetteville, AR 72701-7329
Phone
(479) 443-3411
Fax
(479) 443-3412
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD16205 AR Primary

Addresses

Primary practice location

2515 E Huntsville Rd
Fayetteville, AR 72701-7329

Mailing address

2515 E Huntsville Rd
Fayetteville, AR 72701-7329
Phone (479) 443-3411

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

LicenseStateTypeSpecialty
PD16205ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1992438394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E HUNTSVILLE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017329",
            "telephone_number": "479-443-3411",
            "fax_number": "479-443-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E HUNTSVILLE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017329",
            "telephone_number": "479-443-3411",
            "fax_number": "479-443-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBY",
        "first_name": "PAYTON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.