Organization Active NPI

Hudson Pharmacy Inc

  • Long Term Care Pharmacy
  • Hudson, MI
National Provider Identifier
1306515309
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HUDSON PHARMACY INC
Practice address
325 Railroad St Ste D
Hudson, MI 49247-1062
Phone
(517) 448-3111
Fax
(517) 448-5892
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Joann Marie Sanborn, RPHNPI 1396027066
Title
VP Operations
Phone
(517) 448-3111

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

325 Railroad St Ste D
Hudson, MI 49247-1062

Mailing address

1410 W Ganson St
Jackson, MI 49202-4063
Phone (517) 789-8980

Other identifiers 2

IdentifierTypeStateIssuer
1174696926MedicaidMI
0352390001OtherMEDICARE SUPPLIER NUMBER

National Provider Directory

National Provider Directory

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1306515309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024063",
            "telephone_number": "517-789-8980",
            "fax_number": "517-789-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 RAILROAD ST STE D",
            "city": "HUDSON",
            "state": "MI",
            "postal_code": "492471062",
            "telephone_number": "517-448-3111",
            "fax_number": "517-448-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "517-448-3111",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174696926",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "0352390001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.