Organization Active NPI

Skinner & Hang Inc

  • Community/Retail Pharmacy
  • Paw Paw, MI
National Provider Identifier
1376554881
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301004614 Issued in MI
Legal business name
SKINNER & HANG INC
Doing business as
HILLS PRESCRIPTION SHOP
Practice address
404 Hazen St
Suite 102
Paw Paw, MI 49079-1040
Phone
(269) 657-4701
Fax
(269) 657-4553
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Patrick Lynch, R.PH.NPI 1043228174
Title
President
Phone
(269) 657-4701

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301004614 MI Primary

Addresses

Primary practice location

404 Hazen St
Suite 102
Paw Paw, MI 49079-1040

Mailing address

404 Hazen St
Suite 102
Paw Paw, MI 49079-1040
Phone (269) 657-4701

Other identifiers 2

IdentifierTypeStateIssuer
2302014MedicaidMI
2039829OtherPK

Other names 1

  • HILLS PRESCRIPTION SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

404 Hazen St
Ste 102
Paw Paw, MI 49079
Phone (269) 657-4701

Practitioners & affiliated clinicians

Practitioners 4

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1376554881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HAZEN ST",
            "address_2": "SUITE 102",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791040",
            "telephone_number": "269-657-4701",
            "fax_number": "269-657-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HAZEN ST",
            "address_2": "SUITE 102",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791040",
            "telephone_number": "269-657-4701",
            "fax_number": "269-657-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER & HANG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-657-4701",
        "authorized_official_credential": "R.PH."
    },
    "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": "5301004614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302014",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLS PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.