HACKLEY COMMUNITY CARE CENTER, INC (NPI# 1114107547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114107547 |
| Entity Type | Organization |
| Organization Name | HACKLEY COMMUNITY CARE CENTER, INC |
| Other Organization Name | COMMUNITY CARE PHARMACY |
| Practice Address |
2700 Baker St Muskegon MI 49444-2157 |
| Practice Telephone | 2317379510 |
| Practice Fax Number | 2317390837 |
| Mailing Telephone | 2317379510 |
| Mailing Fax Number | 2317390837 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | MRS. VALERIE BLONDIN (CHIEF FINANCE OFFICE) |
| Authorized Official Telephone | 2317336657 |
| Is Organization Subpart | Y |
| Parent Organization Name | HACKLEY COMMUNITY CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008736 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 5301008736 | 01 |
| Other Name | Type Code |
|---|---|
| Community Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
2700 BAKER ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066238 | Hackley Community Care Center Inc | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2005-10-07 |
| 1619476918 | Heather Ann Hoover | Dental Hygienist | 2700 Baker St, Muskegon, MI 49444-2157 | 2018-02-02 |
| 1134641277 | Yessica Escutia Ponce De Leon | Dentist | 2700 Baker St, Muskegon, MI 49444 | 2017-07-11 |
| 1356724702 | Stacey Steeno | Advanced Practice Midwife | 2700 Baker St, Muskegon, MI 49444-2157 | 2015-07-02 |
| 1225364953 | Carmel Elaise Mckentry | Counselor | 2700 Baker St, Muskegon, MI 49444-2157 | 2009-10-31 |
| 1982884383 | Shannon Varela | Pharmacist | 2700 Baker St, Muskegon, MI 49444-2157 | 2007-11-14 |
| 1720098551 | Virendra K Das | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-08-08 |
| 1124042445 | Suzanne E Carl | Registered Nurse | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-27 |
| 1558385849 | Tawna W Vallance | Physician Assistant | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-27 |
| 1215950605 | Kelly S Briden | Family Medicine | 2700 Baker St, 3rd Floor, Muskegon, MI 49444-2157 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679790943 | Hackley Pharmacy--apple | Pharmacy | 1680 E Apple Ave, Muskegon, MI 49442-4241 | 2007-04-19 |
| 1821106287 | Benson Drug Company Inc. | Pharmacy | 961 Spring St, Muskegon, MI 49442-3278 | 2006-08-27 |
| 1366457475 | Walgreen Co | Pharmacy | 1000 S Getty St, Muskegon, MI 49442-3650 | 2006-07-29 |
| 1932522687 | Mercy Health-muskegon Cmh Pharmacy | Pharmacy | 376 E Apple Ave, Suite 1a, Muskegon, MI 49442-3466 | 2014-01-31 |
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|---|---|---|---|---|
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| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.