Active NPI
Charles William Hastings, RPH
- Pharmacist
- Southgate, MI
National Provider Identifier
1386734010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302022617
- Practice address
- 13894 Northline Rd
Southgate, MI 48195-1803 - Phone
- (734) 285-9496
- Fax
- (734) 285-9498
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302022617 | MI | Primary |
Addresses
Primary practice location
13894 Northline Rd
Southgate, MI 48195-1803
Mailing address
13894 Northline Rd
Southgate, MI 48195-1803
Phone (734) 285-9496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302022617 | Other | MI | PHARMACIST LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302022617 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsman I, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Southgate, MI
- NPI 1386752749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386734010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13894 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481951803",
"telephone_number": "734-285-9496",
"fax_number": "734-285-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13894 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481951803",
"telephone_number": "734-285-9496",
"fax_number": "734-285-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302022617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302022617",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.