Jeffrey Bryan Hungerford

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302035398 Issued in MI

Practice address

1100 Phoenix St
South Haven, MI 49090-7912

Phone

(269) 637-1457

Fax

(269) 637-1613

NPI assigned

Jun 15, 2020

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • South Haven, MI
  • NPI 1245245554
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1952926958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PHOENIX ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907912",
            "telephone_number": "269-637-1457",
            "fax_number": "269-637-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PHOENIX ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907912",
            "telephone_number": "269-637-1457",
            "fax_number": "269-637-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "JEFFREY",
        "middle_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.09691@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medications",
            "address_1": "1100 Phoenix St",
            "city": "South Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490907912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey L Hollis, DDS
• Morgan Hough
• Kim House
• Jamie Lee Hubbard, ILC, PPD
• Waseem Sheriff Humayoon Sheriff
• Nancy Ann Insidioso, LMSW
• It'S Your Journey Counseling PLLC
• Anne Marie Jaeger-Heiden, M.A., LPC
• James Sirajuddin MD PC
• Karen L Janson, MD

• Pharmacist in South Haven, MI
• Providers in South Haven, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.