Fallon Palma Hagen, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15918-40 Issued in WI

Practice address

21 S Jackson St
Suite 100
Janesville, WI 53548

Phone

(608) 752-7869

Fax

(608) 752-6806

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Janesville Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Janesville, WI
  • NPI 1942753850
  NPD
• Janesville Hometown Pharmacy LLC

  • Long Term Care Pharmacy
  • Janesville, WI
  • NPI 1932679081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1023454030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 TERAPIN TRL",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535457811",
            "telephone_number": "608-931-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S JACKSON ST",
            "address_2": "SUITE 100",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-752-7869",
            "fax_number": "608-752-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "FALLON",
        "middle_name": "PALMA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15918-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Gutzman, LPC, NCC
• Brett R Haarmann, PA-C
• Thomas S Haas, DO
• Brianna Haase
• Brianna Hadley
• Brianna Dawn Hahn, SAC-IT
• Leanne K Hahn, MD
• Ashruti Hitendra Hajari, MD
• Hassan Haji-Abdirahman, MD
• Christopher Hall, MD

• Pharmacist in Janesville, WI
• Providers in Janesville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.