Active NPI
Hastings Pharmacy
- Community/Retail Pharmacy
- Hastings, MI
National Provider Identifier
1588052492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010616
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210126002373 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244643773 | Practice locations: Hastings, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hastings, MI
- NPI 1750606133
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.