Active NPI
Douglas Jay Henger
- Pharmacist
- New Hudson, MI
National Provider Identifier
1467903534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302041040
- Practice address
- 30729 Lyon Center Dr E
New Hudson, MI 48165-8903 - Phone
- (248) 486-8941
- Fax
- (844) 287-2470
- NPI assigned
- Oct 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302041040 | MI | Primary |
| Pharmacist | 183500000X | RP035967L | PA |
Addresses
Primary practice location
30729 Lyon Center Dr E
New Hudson, MI 48165-8903
Mailing address
30729 Lyon Center Dr E
New Hudson, MI 48165-8903
Phone (248) 486-8941
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041040 | MI | MD | Pharmacist |
| RP035967L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1467903534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30729 LYON CENTER DR E",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481658903",
"telephone_number": "248-486-8941",
"fax_number": "844-287-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30729 LYON CENTER DR E",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481658903",
"telephone_number": "248-486-8941",
"fax_number": "844-287-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENGER",
"first_name": "DOUGLAS",
"middle_name": "JAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041040",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035967L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.