Active NPI
Jennifer L. Hardy, RPH
- Pharmacist
- Saint Johns, MI
National Provider Identifier
1669767141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024743
- Practice address
- 900 S US Highway 27
Saint Johns, MI 48879-2436 - Phone
- (989) 224-7075
- Fax
- (989) 224-1606
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26016818A | IN | |
| Pharmacist | 183500000X | 03218126 | OH | |
| Pharmacist | 183500000X | 5302024743 | MI | Primary |
Addresses
Primary practice location
900 S US Highway 27
Saint Johns, MI 48879-2436
Mailing address
900 S US Highway 27
Saint Johns, MI 48879-2436
Phone (989) 224-7075
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26016818A | IN | MD | Pharmacist |
| 5302024743 | MI | MD | Pharmacist |
| 03218126 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fenton, MI
- NPI 1326917394
-
- Community/Retail Pharmacy
- Saint Johns, MI
- NPI 1568496339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1669767141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S US HIGHWAY 27",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792436",
"telephone_number": "989-224-7075",
"fax_number": "989-224-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S US HIGHWAY 27",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792436",
"telephone_number": "989-224-7075",
"fax_number": "989-224-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016818A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03218126",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.