Buckleys Pharmacy of Hazel Park LLC
NPI 1962764506 · Community/Retail Pharmacy · Hazel Park, MI
Buckleys Pharmacy of Hazel Park LLC is a Community/Retail Pharmacy organization in Hazel Park, MI (NPI 1962764506).
Provider details
- NPI number
- 1962764506
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Anthony Cole, Managing Member(313) 971-5030
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Buckley'S Pharmacy #102
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2016-04-05
Frequently asked questions
- What is Buckleys Pharmacy of Hazel Park LLC's NPI number?
- Buckleys Pharmacy of Hazel Park LLC's National Provider Identifier (NPI) is 1962764506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buckleys Pharmacy of Hazel Park LLC?
- Buckleys Pharmacy of Hazel Park LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Buckleys Pharmacy of Hazel Park LLC located?
- Buckleys Pharmacy of Hazel Park LLC's practice location on file with NPPES is 20721 Dequindre Rd Ste B, Hazel Park, MI 48030-2633.
- What is Buckleys Pharmacy of Hazel Park LLC's phone number?
- The practice phone number listed in the NPPES registry for Buckleys Pharmacy of Hazel Park LLC is (248) 808-6505.
- Who is the authorized official for Buckleys Pharmacy of Hazel Park LLC?
- The authorized official listed on Buckleys Pharmacy of Hazel Park LLC's NPPES record is Anthony Cole, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buckleys Pharmacy of Hazel Park LLC's NPI active?
- Yes — Buckleys Pharmacy of Hazel Park LLC's NPI (1962764506) is active in the NPPES registry as of the last update on 2016-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.