Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hackley Professional Pharmacy, Inc

Organization Pharmacy · NPI 1962417576

Hackley Professional Pharmacy, Inc is a Pharmacy in Norton Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6401 Prairie St Ste 1100
Norton Shores, MI 49444-7839
Phone: (231) 672-7821
Fax: (231) 727-7971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301008308 (MI)
Pharmacy Taxonomy 333600000X

Record details

NPI number1962417576
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHackley Professional Pharmacy, Inc
Authorized official Kristi Nagengast — Vp Of Finance · (231) 728-1950
Other names Mercy Health Pharmacy- Lakes; Trinity Health Pharmacy - Lakes Village
NPI enumeratedJuly 30, 2006
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address6401 Prairie St Ste 1100, Norton Shores, MI 49444-7839

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