Organization Active NPI

Hastings Pharmacy

  • Community/Retail Pharmacy
  • Hastings, MI
National Provider Identifier
1588052492
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010616 Issued in MI
Legal business name
HASTINGS PHARMACY
Practice address
400 W State St
Hastings, MI 49058-1640
Phone
(269) 945-3777
Fax
(269) 945-3065
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Russ Boblet, R.PH.
Title
Partner
Phone
(269) 420-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010616 MI Primary

Addresses

Primary practice location

400 W State St
Hastings, MI 49058-1640

Mailing address

400 W State St
P.O. Box 722
Hastings, MI 49058-1640
Phone (269) 945-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210126002373 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0244643773 Practice locations: Hastings, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1588052492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W STATE ST",
            "address_2": "P.O. BOX 722",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581640",
            "telephone_number": "269-945-3777",
            "fax_number": "269-945-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W STATE ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581640",
            "telephone_number": "269-945-3777",
            "fax_number": "269-945-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BOBLET",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "269-420-2990",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.