Individual provider Active NPI

Alex O'Brien Hasek, PHARMD.

  • Pharmacist
  • Red Wing, MN
National Provider Identifier
1053605030
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120165 Issued in MN
Practice address
151 Tyler Rd N
Red Wing, MN 55066-1865
Phone
(651) 388-2433
Fax
(651) 388-2433
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120165 MN Primary

Addresses

Primary practice location

151 Tyler Rd N
Red Wing, MN 55066-1865

Mailing address

151 Tyler Rd N
Red Wing, MN 55066-1865
Phone (651) 388-2433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
120165MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1053605030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 TYLER RD N",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661865",
            "telephone_number": "651-388-2433",
            "fax_number": "651-388-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 TYLER RD N",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661865",
            "telephone_number": "651-388-2433",
            "fax_number": "651-388-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEK",
        "first_name": "ALEX",
        "middle_name": "O'BRIEN",
        "name_prefix": "Mr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.