Healthcare Provider Details

I. General information

NPI: 1659217933
Provider Name (Legal Business Name): RASHAD ANTHONY HAYNES SR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39531-2410
US

IV. Provider business mailing address

16251 TOUGALOO LN
GULFPORT MS
39503-6610
US

V. Phone/Fax

Practice location:
  • Phone: 228-523-5000
  • Fax:
Mailing address:
  • Phone: 504-427-0491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-100915
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: