Dana Hackett

Primary specialty

PharmacistTaxonomy code 183500000X

License

IR60790503 Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-0001

Phone

(425) 806-7728

NPI assigned

Nov 28, 2018

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

Other identifiers 1

Other names 1

• Dana Fergerstrom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1063982544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24008 WOODINVILLE SNOHOMISH RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980720001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "425-806-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "IR60790503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PQAC",
            "identifier": "IR60790503",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "FERGERSTROM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Hackathorn, LMP
• Lucianne Hackbert, PHD
• Paige Lee Hacke, LICSW
• Thomas Anthony Hacker, PH.D.
• Clayton David Hackerman, MD
• Heidi Jo Hackett, DDS
• Justin Hackett, MD
• Marisssa Hackett
• Robert C Hackman, MD
• Ronald Dean Hackney, DDS MS

• Pharmacist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.