Misty Mae Christina Hankin

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302415751 Issued in MI

Practice address

700 N State Rd
Davison, MI 48423-1130

Phone

(810) 658-8051

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kroger Co of Michigan

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Davison, MI
  • NPI 1720012594
  NPD
• Kroger Co of Michigan

  dba Kroger Pharmacy #416

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1598533788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 AIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291502",
            "telephone_number": "248-818-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231130",
            "telephone_number": "810-658-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKIN",
        "first_name": "MISTY MAE",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302415751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H&R Acquisitions Group LLC (Ryckman Brothers Development)
• H2G Dental PLLC (Irish Road Dental)
• Robert M Hale, DDS
• Hamtramck Orthopedic Physical Therapy, Inc. (Optimal Rehab & Wellness)
• Harriet Hanchett, NC TMB
• Stephanie L Harris, DNAP
• Timothy R Harris, OD PLC
• Kamal S Hasan, MD
• Healing Hands Physical Therapy and Wellness LLC
• Healing Path Counseling PLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Davison, MI
• Providers in Davison, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.