Haggerty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011046 Issued in MI

Legal business name

HAGGERTY PHARMACY LLC

Doing business as

Haggerty Pharmacy

Practice address

6200 N Haggerty Rd
Suite 300
Canton, MI 48187-3605

Phone

(734) 667-2000

Fax

(734) 667-3164

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Gebre AshebirNPI 1730509399

Title

Pharmacist in Charge

Phone

(734) 667-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Haggerty Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gebre Ashebir

  • Pharmacist
  • Belleville, MI
  • NPI 1730509399
  NPD Authorized official

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1457803629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N HAGGERTY RD",
            "address_2": "SUITE 300",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873605",
            "telephone_number": "734-667-2000",
            "fax_number": "734-667-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N HAGGERTY RD",
            "address_2": "SUITE 300",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873605",
            "telephone_number": "734-667-2000",
            "fax_number": "734-667-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGERTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ASHEBIR",
        "authorized_official_first_name": "GEBRE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "734-667-2000"
    },
    "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": "5301011046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggerty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Habrowski
• Kelli Hackel
• Telane Hadden, RN, BSN
• Radko Hadjiev, DDS
• Jeffrey Hagan, O.D.
• Batoul Haidar-Ahmad
• Rana Amanda Haidar-Ahmad, LLMSW
• Kelly Jeane Haidar, DO
• Tiana Haile
• Mark Nabeel Hakim, M.D.

• Community/Retail Pharmacy in Canton, MI
• Providers in Canton, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.