Provider Demographics
NPI:1699222752
Name:HAYES, JAMIE M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31840 SHOAL WATER DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-3770
Mailing Address - Country:US
Mailing Address - Phone:205-229-8176
Mailing Address - Fax:251-968-2772
Practice Address - Street 1:1527 GULF SHORES PARKWAY
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542
Practice Address - Country:US
Practice Address - Phone:251-968-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18965183500000X
FLPS47010183500000X
WY3412183500000X
AL14250183500000X
TN11739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0119126OtherNCPDP
AL1063521466OtherNPI
ALAK3028176OtherDEA