Individual provider Active NPI

Owen Eckardt, PHARMD

  • Pharmacist
  • Hastings, MI
National Provider Identifier
1699651570
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302417882 Issued in MI
Practice address
126 N Broadway St
Hastings, MI 49058-1812
Phone
(269) 908-4067
NPI assigned
Aug 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302417882 MI Primary

Addresses

Primary practice location

126 N Broadway St
Hastings, MI 49058-1812

Mailing address

6255 N Clark Rd
Lake Odessa, MI 48849-9450
Phone (616) 337-2458

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302417882MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 17, 2025 Accepting new patients
Walgreen Co PastSince Aug 17, 2025 Accepting new patients

Locations

126 N Broadway St
Hastings, MI 49058
Phone (269) 908-4067

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1699651570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 N CLARK RD",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488499450",
            "telephone_number": "616-337-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N BROADWAY ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581812",
            "telephone_number": "269-908-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKARDT",
        "first_name": "OWEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302417882",
            "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 Aug 14, 2025; 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.