Active NPI
Kandance Jean Hartman, PHARM.D.
- Pharmacist
- Muskegon, MI
National Provider Identifier
1013048784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033486
- Practice address
- 2635 Henry St
Muskegon, MI 49441 - Phone
- (231) 755-0500
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033486 | MI | Primary |
Addresses
Primary practice location
2635 Henry St
Muskegon, MI 49441
Mailing address
2635 Henry St
Muskegon, MI 49441-3507
Phone (231) 755-0500
Other practice location 1
1151 W Randall St
Coopersville, MI 49404-1355
Phone (616) 837-6219 ext. 3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302033486 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 04977
- Community/Retail Pharmacy
- Muskegon, MI
- NPI 1659480135
-
dba Rite Aid Pharmacy 02729
- Community/Retail Pharmacy
- Coopersville, MI
- NPI 1770593410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571443200000",
"number": "1013048784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 HENRY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494413507",
"telephone_number": "231-755-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 HENRY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49441",
"telephone_number": "231-755-0500"
}
],
"practiceLocations": [
{
"address_1": "1151 W Randall St",
"address_purpose": "LOCATION",
"city": "Coopersville",
"state": "MI",
"postal_code": "494041355",
"country_code": "US",
"telephone_number": "616-837-6219 x3",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTMAN",
"first_name": "KANDANCE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2019-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.