Active NPI
Richard Hagan
- Pharmacist
- Hayward, CA
National Provider Identifier
1134846108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62320
- Practice address
- 3121 Diablo Ave
Hayward, CA 94545-2701 - Phone
- (650) 353-5495
- NPI assigned
- Oct 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62320 | CA | Primary |
Addresses
Primary practice location
3121 Diablo Ave
Hayward, CA 94545-2701
Mailing address
3121 Diablo Ave
Hayward, CA 94545-2701
Phone (650) 353-5495
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rick.hagan@truepill.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62320 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1134846108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 DIABLO AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452701",
"telephone_number": "650-353-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 DIABLO AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452701",
"telephone_number": "650-353-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62320",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rick.hagan@truepill.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3121 Diablo Ave",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945452701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.