Hardings Galesburg Market Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006958 Issued in MI

Legal business name

HARDINGS GALESBURG MARKET INC

Doing business as

Harding's Pharmacy

Practice address

3750 W Centre Ave
Portage, MI 49024-4630

Phone

(269) 323-7380

Fax

(269) 323-7392

NPI assigned

Aug 22, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan Gustavson

Title

Director of Pharmacy

Phone

(269) 492-2919

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Harding's Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Dwyer, PHARM.D.

  • Pharmacist
  • Portage, MI
  • NPI 1053745851
  NPD (past)
• Sheila Rae Goole, R.PH.

  • Pharmacist
  • Portage, MI
  • NPI 1124389002
  NPD (past)
• Lorraine Darlene Klies, RPH

  • Pharmacist
  • Portage, MI
  • NPI 1972854107
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1821104902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244630",
            "telephone_number": "269-323-7380",
            "fax_number": "269-323-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244630",
            "telephone_number": "269-323-7380",
            "fax_number": "269-323-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDINGS GALESBURG MARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GUSTAVSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "269-492-2919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301006958",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006958",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2359695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-4835868",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50-2359695",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harding's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elizabeth Hanson, PMHNP
• Haq Care LLC (ComForCare Home Care)
• Claire Harbaugh
• Jamie Lyn Harden, DO
• Kathleen Harding
• Gordon Keith Hare, PH D
• Chloe Harker
• Lindsey Harrelson
• Alexandra Marie Harris, RN
• Amber Harris

• Community/Retail Pharmacy in Portage, MI
• Providers in Portage, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.