Active NPI
Amanda Haynes, PHARM D
- Pharmacist
- Lakeway, TX
National Provider Identifier
1992453658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63988
- Practice address
- 2306 Ranch Road 620 S
Lakeway, TX 78734-6269 - Phone
- (512) 263-6000
- NPI assigned
- Mar 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2007028060 | MO | |
| Pharmacist | 183500000X | 63988 | TX | Primary |
Addresses
Primary practice location
2306 Ranch Road 620 S
Lakeway, TX 78734-6269
Mailing address
2201 Crazyhorse Pass
Austin, TX 78734-2805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149642 | Other | NABP |
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 |
|---|---|---|---|
| 2007028060 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647043200000",
"number": "1992453658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 CRAZYHORSE PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787342805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 RANCH ROAD 620 S",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787346269",
"telephone_number": "512-263-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "AMANDA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-12",
"last_updated": "2022-03-12",
"certification_date": "2021-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2007028060",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "149642",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.