OrganizationActive
Hackley Pharmacy-Wolf Lake
NPI 1306987268 · Community/Retail Pharmacy · Muskegon, MI
Hackley Pharmacy-Wolf Lake is a Community/Retail Pharmacy organization in Muskegon, MI (NPI 1306987268).
Provider details
- NPI number
- 1306987268
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kim Debruin, Retail Pharmacy Manager(231) 728-4046
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5483 E Apple Ave
Muskegon, MI 49442-3070
Phone: (231) 788-4087
Fax: (231) 788-3090
Street-level locationGet directions
Mailing address
5483 E Apple Ave
Muskegon, MI 49442-3070
Other names (DBA / former)
- Doing business as
- Hackley Pharmacy- Wolf Lake
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2014-07-03
Frequently asked questions
- What is Hackley Pharmacy-Wolf Lake's NPI number?
- Hackley Pharmacy-Wolf Lake's National Provider Identifier (NPI) is 1306987268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hackley Pharmacy-Wolf Lake?
- Hackley Pharmacy-Wolf Lake is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Hackley Pharmacy-Wolf Lake located?
- Hackley Pharmacy-Wolf Lake's practice location on file with NPPES is 5483 E Apple Ave, Muskegon, MI 49442-3070.
- What is Hackley Pharmacy-Wolf Lake's phone number?
- The practice phone number listed in the NPPES registry for Hackley Pharmacy-Wolf Lake is (231) 788-4087.
- Who is the authorized official for Hackley Pharmacy-Wolf Lake?
- The authorized official listed on Hackley Pharmacy-Wolf Lake's NPPES record is Kim Debruin, Retail Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hackley Pharmacy-Wolf Lake's NPI active?
- Yes — Hackley Pharmacy-Wolf Lake's NPI (1306987268) is active in the NPPES registry as of the last update on 2014-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.