Tara Zdybel, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5315103373 Issued in MI

Practice address

1150 E Sherman Blvd Ste 1400
Muskegon, MI 49444-1870

Phone

(231) 672-7823

NPI assigned

Aug 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Hackley Professional Pharmacy, Inc

  • Specialty Pharmacy
  • Muskegon, MI
  • NPI 1013626639
  NPD (past) Authorized official
• Hackley Professional Pharmacy Inc

  • Community/Retail Pharmacy
  • Muskegon, MI
  • NPI 1538619036
  NPD (past)
• Hackley Professional Pharmacy Inc

  • Community/Retail Pharmacy
  • North Muskegon, MI
  • NPI 1578118006
  NPD (past)
• Hackley Professional Pharmacy, Inc

  • Community/Retail Pharmacy
  • Muskegon, MI
  • NPI 1497896351
  NPD (past)
• Hackley Professional Pharmacy, Inc

  • Community/Retail Pharmacy
  • Norton Shores, MI
  • NPI 1962417576
  NPD (past)
• Hackley Professional Pharmacy,Inc

  • Community/Retail Pharmacy
  • Norton Shores, MI
  • NPI 1215078175
  NPD (past)

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1821716796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 JUDSON RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569621",
            "telephone_number": "231-557-8068",
            "fax_number": "231-672-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 1400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441870",
            "telephone_number": "231-672-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Leahy St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425538",
            "country_code": "US",
            "telephone_number": "231-672-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Prairie St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447839",
            "country_code": "US",
            "telephone_number": "231-672-7821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Sherman Blvd # P-200",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-7825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Holton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494451505",
            "country_code": "US",
            "telephone_number": "231-672-7824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3570 Henry St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494414577",
            "country_code": "US",
            "telephone_number": "231-672-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZDYBEL",
        "first_name": "TARA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315103373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zdybelt@mercyhealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure Outlook Email Address",
            "address_1": "1150 E Sherman Blvd Ste 1400",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zach Gray, Llmsw LLC
• Michael George Zambiasi, MA, LLP
• Leonard A Zandi, PTA
• Kyle Reese Zaremba, D.O.
• Angel Zaverl, BS
• Robert J Zehrung Jr., DO
• Kylie Marie Zerkle
• Shealyn L Zervas
• Zackery Yingchun Zhang, MD
• Yuli Zheng, PHARMD

• Pharmacist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.