HACKLEY PROFESSIONAL PHARMACY INC NPI 1538619036

NPI Information

  • NPI: 1538619036
  • Provider Name: HACKLEY PROFESSIONAL PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 1500 E SHERMAN BLVD
    GARDEN LEVEL P-200
    MUSKEGON, MI
    ZIP 49444
  • Phone: (231) 672-7825

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NPI Details

HACKLEY PROFESSIONAL PHARMACY INC is a community/retail pharmacy pharmacy in Muskegon, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HACKLEY PROFESSIONAL PHARMACY INC NPI is 1538619036. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1500 E SHERMAN BLVD
GARDEN LEVEL P-200
MUSKEGON, MI
ZIP 49444
Phone: (231) 672-7825
Fax: (231) 672-6488

The provider's authorized official is Kristi Nagengast .
The authorized official title is Vp Finance and has the following contact phone number (231) 728-1950.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301011026MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12166139OTHERPK
21538619036MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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