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MR. KEITH DARREL HAZELY SR. PHARMACIST
NPI 1720378045
Pharmacist in Warren, MI

Active since April 08, 2011
31700 VAN DYKE AVE STE 190, WARREN, MI 48093(586) 276-8040(586) 276-8039 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Keith Darrel Hazely Sr. Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITH DARREL HAZELY SR. PHARMACIST (NPI 1720378045) is an individual pharmacist in Warren, Michigan, licensed in Michigan (5302024376) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1720378045
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KEITH DARREL HAZELY SR.Credential: PHARMACIST
Location Address31700 VAN DYKE AVE STE 190Warren, MI 48093-7951
Mailing Address13701 Van Dyke Suite 190Warren, MI 48093-7951 · (586) 276-8040 · Fax (586) 276-8039
Phone(586) 276-8040
Fax(586) 276-8039
Sole ProprietorNo
Enumeration DateApril 8, 2011
✔ NPI 1720378045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MI · 5302024376
Definition
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.
31700 VAN DYKE AVE STE 190, Warren, MI 48093
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Hazely's NPI number?

The NPI number for Keith Hazely is 1720378045. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Keith Hazely located?

Keith Hazely practices at 31700 Van Dyke Ave Ste 190, Warren, MI 48093. The listed phone number is (586) 276-8040.

What is Keith Hazely's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Keith Hazely was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.