NPIMap

Organization Active NPI

Hackley Pharmacy--Apple

  • Community/Retail Pharmacy
  • Muskegon, MI
National Provider Identifier
1679790943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301005826 Issued in MI
Legal business name
HACKLEY PHARMACY--APPLE
Practice address
1680 E Apple Ave
Muskegon, MI 49442-4241
Phone
(231) 773-1616
Fax
(231) 773-4031
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carlton Bosse
Title
Director of Pharmacy
Phone
(231) 728-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301005826 MI Primary

Addresses

Primary practice location

1680 E Apple Ave
Muskegon, MI 49442-4241

Mailing address

1680 E Apple Ave
Muskegon, MI 49442-4241
Phone (231) 773-1616

National Provider Directory

National Provider Directory
Tax ID family
Hackley Pharmacy Norton Shores10 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

1680 E Apple Ave
Muskegon, MI 49442
Phone (231) 773-1616

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679790943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424241",
            "telephone_number": "231-773-1616",
            "fax_number": "231-773-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424241",
            "telephone_number": "231-773-1616",
            "fax_number": "231-773-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY PHARMACY--APPLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "231-728-5974"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.

Verify at the official NPI Registry.