Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720378045 Individual Practitioner Male Practitioner

Keith Darrel Hazely , PHARMACIST

Pharmacist • Warren, MI

Professional Overview & Biography Verified Profile Summary

Keith Hazely, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Warren, MI. Practice services are available at 31700 VAN DYKE AVE STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31700 Van Dyke Ave Ste 190

Warren, MI 480937951

Telephone 5862768040
Fax 5862768039

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
163 Specialists

Practicing in Warren, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302024376

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Mark Bomia

Pharmacist

NPI 1043500838
NPI 1144338245

Registered Pharmacist

NPI 1881664464

Registered Pharmacist

NPI 1881740371

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2011

Registered at 31700 VAN DYKE AVE STE 190, WARREN, MI 480937951 (Tel: 5862768040)

📍
Updated Business Mailing Address April 08, 2011

Registered at 13701 VAN DYKE SUITE 190, WARREN, MI 480937951 (Tel: 5862768040)

👤
Provider Name / Credentials Updated April 08, 2011

Recorded as KEITH HAZELY, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2011

Pharmacist (License #5302024376 in MI)

🟢
Initial NPI Registration & Enumeration April 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720378045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2011
Last Update: April 08, 2011
Sole Proprietor: No

Mailing Address

13701 Van Dyke Suite 190

Warren, MI 480937951

Phone: 5862768040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.