Haggen Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

4862 Issued in WA

Legal business name

HAGGEN INC

Practice address

5600 Martin Way E
Lacey, WA 98516-6308

Phone

(360) 923-2020

Fax

(360) 923-2038

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew J Charter, RPH

Title

Vice President Phamacy

Phone

(360) 650-8316

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TOP 49 Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1235162579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166308",
            "telephone_number": "360-923-2020",
            "fax_number": "360-923-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "CHARTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT PHAMACY",
        "authorized_official_telephone_number": "360-650-8316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "4862",
            "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": "4923529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6013932",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOP 49",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Calista Guptill
• Soledad Gutierrez, ARNP
• Hoang Vy Ha, OD
• Kelly A. Hackney, PHARM.D.
• Evan Mikel Hagen, ATC, PTA
• Bita Hakimi, PHARMACIST
• Deborah K. Hall, MD
• Meghan Hall, LMT
• Myasar Husam Halmi, RPH
• Kaylee Halvorson

• Pharmacy in Lacey, WA
• Providers in Lacey, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.