Organization Active NPI

JC Hansen Inc

Doing business as Hansens Pharmacy and Variety

  • Community/Retail Pharmacy
  • Edmore, MI
National Provider Identifier
1295828465
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005863 Issued in MI
Legal business name
JC HANSEN INC
Doing business as
Hansens Pharmacy and Variety
Practice address
326 E Main St
Edmore, MI 48829-9346
Phone
(989) 427-5275
Fax
(989) 427-5973
NPI assigned
Oct 2, 2006
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Jeffrey Al Hansen
Title
President
Phone
(989) 427-5275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301005863 MI Primary

Addresses

Primary practice location

326 E Main St
Edmore, MI 48829-9346

Mailing address

326 E Main St
Edmore, MI 48829-0019
Phone (989) 427-5275

Other names 1

  • HANSENS PHARMACY AND VARIETY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1295828465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E MAIN ST",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488290019",
            "telephone_number": "989-427-5275",
            "fax_number": "989-427-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E MAIN ST",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488299346",
            "telephone_number": "989-427-5275",
            "fax_number": "989-427-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC HANSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-427-5275"
    },
    "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": "5301005863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANSENS PHARMACY AND VARIETY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HANSENS PHARMACY AND VARIETY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.