Vance Haines
Pharmacist in Lebanon, OR. Individual provider (NPI-1).
NPI number1114897378
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1114897378
- Entity type
- Individual (NPI-1)
- Name
- Vance Haines
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2025
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH-0020807 | OR | Yes |
Practice location
3290 S Santiam HwyLebanon, OR 97355-3737
Phone 541-841-9462
Mailing address
30721 Butte Creek RdLebanon, OR 97355-9238
Is something wrong?
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All 20 Pharmacist providers in Lebanon · All 723 providers in Lebanon
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