Organization Active NPI

Hogden Enterprises Inc

Doing business as Blair Pharmacy

  • Long Term Care Pharmacy
  • Blair, WI
National Provider Identifier
1164925632
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
7366042 Issued in WI
Legal business name
HOGDEN ENTERPRISES INC
Doing business as
Blair Pharmacy
Practice address
125 W Broadway St
Blair, WI 54616-9367
Phone
(608) 989-2919
Fax
(608) 989-2837
NPI assigned
Mar 12, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Daniel Ben MolstadNPI 1902940141
Title
Director of Pharmacy
Phone
(608) 989-2919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 7366042 WI Primary

Addresses

Primary practice location

125 W Broadway St
Blair, WI 54616-9367

Mailing address

PO Box 186
Blair, WI 54616-0186
Phone (608) 989-2919

Other identifiers 1

IdentifierTypeStateIssuer
33196800MedicaidWI

Other names 1

  • Blair Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1164925632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "BLAIR",
            "state": "WI",
            "postal_code": "546160186",
            "telephone_number": "608-989-2919",
            "fax_number": "608-989-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W BROADWAY ST",
            "city": "BLAIR",
            "state": "WI",
            "postal_code": "546169367",
            "telephone_number": "608-989-2919",
            "fax_number": "608-989-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGDEN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MOLSTAD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "608-989-2919"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "7366042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33196800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blair Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blair, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.