Organization Active NPI

Haggerty Pharmacy LLC

  • Long Term Care Pharmacy
  • Roseville, MI
National Provider Identifier
1023734118
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HAGGERTY PHARMACY LLC
Practice address
18285 E 10 Mile Rd Ste 140
Roseville, MI 48066-5806
Phone
(734) 667-2000
Fax
(734) 667-3164
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gebre AshebirNPI 1730509399
Title
Owner Manager
Phone
(734) 325-6318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

18285 E 10 Mile Rd Ste 140
Roseville, MI 48066-5806

Mailing address

18285 E 10 Mile Rd Ste 140
Roseville, MI 48066-5806
Phone (734) 667-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.haggertydrug.com Other

National Provider Directory

National Provider Directory

Locations

18285 E 10 Mile Rd
Ste 140
Roseville, MI 48066
Phone (734) 667-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1023734118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD STE 140",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665806",
            "telephone_number": "734-667-2000",
            "fax_number": "734-667-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD STE 140",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665806",
            "telephone_number": "734-667-2000",
            "fax_number": "734-667-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGERTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "ASHEBIR",
        "authorized_official_first_name": "GEBRE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "734-325-6318"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.haggertydrug.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "18285 E 10 Mile Rd Ste 140",
            "city": "Roseville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480665806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.