| NPI | 1013626639 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2022-11-22 |
| Last Updated | 2022-11-22 |
| Authorized Official | Tara Zdybel Pharmacy Manager Phone: 2316724899 |
| Mailing Address | 1675 Leahy St Ste 111 Muskegon, MI 49442-5538 United States Phone: (231) 672-7822 | Fax: (231) 672-8425 📍 View Map |
| Primary Practice Address | 1675 Leahy St Ste 111 Muskegon, MI 49442-5538 United States Phone: (231) 672-7822 | Fax: (231) 672-8425 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1497896351 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
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About NPI 1013626639
Hackley Professional Pharmacy, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1013626639. The primary specialty listed is Pharmacy, Specialty Pharmacy. The organization is located in Muskegon, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-11-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013626639?
NPI 1013626639 belongs to Hackley Professional Pharmacy, Inc, a Pharmacy, Specialty Pharmacy in Muskegon, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013626639 active?
The current status of NPI 1013626639 in the NPPES registry is Active. The record was last updated on 2022-11-22.
What specialty is NPI 1013626639?
NPI 1013626639 is classified under the taxonomy Pharmacy, Specialty Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013626639?
You can verify NPI 1013626639 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013626639?
The primary practice address on file for NPI 1013626639 is 1675 Leahy St Ste 111, Muskegon, MI 49442-5538. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013626639 issued?
NPI 1013626639 was first issued (enumerated) on 2022-11-22. The NPPES record was last updated on 2022-11-22.
Practice Location Map
Hackley Professional Pharmacy, Inc is located at 1675 Leahy St Ste 111, Muskegon, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hackley Professional Pharmacy, Inc. All records sourced from the CMS NPPES registry.