NPIMap

Organization Active NPI

Haggen, Inc

  • Pharmacy
  • Marysville, WA
National Provider Identifier
1225061567
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
56583 Issued in WA
Legal business name
HAGGEN, INC
Practice address
3711 88TH St NE
Marysville, WA 98270-7214
Phone
(360) 530-7761
Fax
(360) 530-7795
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mr. Gaetano (Guy) Anthony Dipasqua, R.PH.
Title
Vice President, Phar
Phone
(360) 650-8204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 56583 WA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

3711 88TH St NE
Marysville, WA 98270-7214

Mailing address

2211 Rimland Drive
Suite 300
Bellingham, WA 98226
Phone (360) 733-8720

Other identifiers 2

IdentifierTypeStateIssuer
4927678OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6022982MedicaidWA

Other names 1

  • Haggen Food & Pharmacy, TOP Food & Drug Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1225061567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RIMLAND DRIVE",
            "address_2": "SUITE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-733-8720",
            "fax_number": "360-752-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 88TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707214",
            "telephone_number": "360-530-7761",
            "fax_number": "360-530-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "GAETANO (GUY)",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHAR",
        "authorized_official_telephone_number": "360-650-8204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "56583",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4927678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6022982",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggen Food & Pharmacy, TOP Food & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.