Paul D Hayse
Pharmacy in Carmi, IL. Organization (NPI-2).
NPI number1962490185
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962490185
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul D Hayse
- Organization subpart
- No
- Enumeration date
- Oct 11, 2005
- Last updated
- Aug 22, 2020
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 |
|---|---|---|---|---|
| 333600000X | Pharmacy | 054-00222 | IL | Yes |
Other names
- Pauls Pharmacy (Doing Business As)
Practice location
1400 W Main St202 April Avenue
Carmi, IL 62821-1387
Phone 618-382-4636 · Fax 618-382-7970
Mailing address
1400 W Main StCarmi, IL 62821-1387
Phone 618-382-4636 · Fax 618-382-7970
Authorized official
Jerry Mayberry
Pharmacist-In-Charge/Manager
6183824636
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