Hackley Professional Pharmacy
Hackley Professional Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Whitehall, MI, holding Type 2 (organization) NPI 1578602520 since 2007. The authorized official on file is Carlton Bosse, Director of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578602520 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hackley Professional Pharmacy |
| Other name | <Unavail> |
| Practice address | 905 E COLBY ST, Whitehall, MI, 49461 |
| Phone | 2317285974 |
| Fax | 2317281604 |
| Enumeration date | 2007-02-06 |
| Last updated in NPPES | 2009-04-30 |
Authorized official
| Name | Carlton Bosse |
|---|---|
| Title | Director of Pharmacy |
| Phone | 2317285974 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 1852218 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2369153 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Hackley Professional Pharmacy NPI: 1578602520 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 905 E COLBY ST, Whitehall, MI, 49461
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104817980 | Joseph Kerschen | Individual | Family Medicine Physician | Whitehall, MI |
| 1194716878 | Elizabeth Tree-Levasseur | Individual | Family Medicine Physician | Whitehall, MI |
| 1689665440 | Thomas Graff | Individual | Family Medicine Physician | Whitehall, MI |
| 1114918521 | Dannie Tabor | Individual | Family Medicine Physician | Whitehall, MI |
| 1821037268 | Matthew Tripp | Individual | Medical Physician Assistant | Whitehall, MI |
| 1295774412 | John Archambeault | Individual | Medical Physician Assistant | Whitehall, MI |
| 1912922717 | Lakeshore Community Hospital Inc. | Organization | Clinic/Center | Whitehall, MI |
| 1871687962 | Hpcn | Organization | Primary Care Clinic/Center | Whitehall, MI |
Verify this record
Cross-check NPI 1578602520 against the authoritative CMS record: view Hackley Professional Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Hackley Professional Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-30.