NPIMap

Organization Active NPI

Hackley Professional Pharmacy,Inc

Doing business as Hackley Pharmacy Glenside

  • Community/Retail Pharmacy
  • Norton Shores, MI
National Provider Identifier
1215078175
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005949 Issued in MI
Legal business name
HACKLEY PROFESSIONAL PHARMACY,INC
Doing business as
Hackley Pharmacy Glenside
Mercy Health Pharmacy- Norton Shores
Trinity Health Pharmacy - Norton Shores
Practice address
3570 Henry St Ste 100
Norton Shores, MI 49441-4577
Phone
(231) 672-7820
Fax
(231) 672-7710
NPI assigned
Feb 12, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kristi Nagengast, RPH
Title
VP of Finance
Phone
(231) 728-1950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301005949 MI Primary

Addresses

Primary practice location

3570 Henry St Ste 100
Norton Shores, MI 49441-4577

Mailing address

3570 Henry St Ste 100
Norton Shores, MI 49441-4577
Phone (231) 672-7820

Other identifiers 1

IdentifierTypeStateIssuer
2042374OtherPK

Other names 3

  • HACKLEY PHARMACY GLENSIDE Doing business as
  • Mercy Health Pharmacy- Norton Shores Doing business as
  • Trinity Health Pharmacy - Norton Shores Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hackley Pharmacy Norton Shores10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1631 W Sherman Blvd
Norton Shores, MI 49441

3570 Henry St
Ste 100
Norton Shores, MI 49441
Phone (231) 672-7820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1215078175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414577",
            "telephone_number": "231-672-7820",
            "fax_number": "231-672-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 100",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414577",
            "telephone_number": "231-672-7820",
            "fax_number": "231-672-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY PROFESSIONAL PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-19",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "NAGENGAST",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "231-728-1950",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HACKLEY PHARMACY GLENSIDE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Pharmacy- Norton Shores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Pharmacy- Norton Shores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Pharmacy - Norton Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.