NPIMap

Organization Active NPI

Hackley Professional Pharmacy Inc

Doing business as Mercy Health Partners - Pharmacy, Inc

  • Community/Retail Pharmacy
  • Muskegon, MI
National Provider Identifier
1538619036
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011026 Issued in MI
Legal business name
HACKLEY PROFESSIONAL PHARMACY INC
Doing business as
Mercy Health Partners - Pharmacy, Inc
Trinity Health Pharmacy - Muskegon Hospital
Practice address
1500 E Sherman Blvd
Garden Level P-200
Muskegon, MI 49444
Phone
(231) 672-7825
Fax
(231) 672-6488
NPI assigned
Oct 7, 2016
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kristi Nagengast
Title
VP Finance
Phone
(231) 728-1950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301011026 MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Garden Level P-200
Muskegon, MI 49444

Mailing address

1500 E Sherman Blvd
Garden Level P-200
Muskegon, MI 49444
Phone (231) 672-7825

Other identifiers 2

IdentifierTypeStateIssuer
2166139OtherPK
1538619036MedicaidMI

Other names 2

  • MERCY HEALTH PARTNERS - PHARMACY, INC Doing business as
  • Trinity Health Pharmacy - Muskegon Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hackley Pharmacy Muskegon HTS10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 E Sherman Blvd
#P200
Muskegon, MI 49444
Phone (231) 672-7825

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": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1538619036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "address_2": "GARDEN LEVEL P-200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-672-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "address_2": "GARDEN LEVEL P-200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-672-7825",
            "fax_number": "231-672-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2025-09-19",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "NAGENGAST",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "231-728-1950"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538619036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH PARTNERS - PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HEALTH PARTNERS - PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Pharmacy - Muskegon Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.