HACKLEY PROFESSIONAL PHARMACY,INC – NPI #1215078175
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.

Health Care Provider Taxonomy Code for Pharmacy

HACKLEY PROFESSIONAL PHARMACY,INC is a pharmacy located in NORTON SHORES, MI. NPPES has assigned the NPI number 1215078175 to HACKLEY PROFESSIONAL PHARMACY,INC on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as HACKLEY PHARMACY GLENSIDE and 2 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was last updated on Sep 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HACKLEY PROFESSIONAL PHARMACY,INC below.

NPI Profile for
HACKLEY PROFESSIONAL PHARMACY,INC

NPI Number
1215078175
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HACKLEY PROFESSIONAL PHARMACY,INC
Other name(s)
All associated names:
Doing Business As (dba)
HACKLEY PHARMACY GLENSIDE
Doing Business As (dba)
Mercy Health Pharmacy- Norton Shores
Doing Business As (dba)
Trinity Health Pharmacy - Norton Shores
Primary location
3570 HENRY ST STE 100
NORTON SHORES, MI 49441-4577
Phone: (231) 672-7820 Fax: (231) 672-7710
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTI NAGENGAST
VP OF FINANCE
Phone: (231) 728-1950
Updated
Certification Date
Nov 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HACKLEY PROFESSIONAL PHARMACY,INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2042374
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)		 MI 5301005949
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.