Haggen, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

56467 Issued in WA

Legal business name

HAGGEN, INC

Practice address

2601 E Division St
Mount Vernon, WA 98274-4748

Phone

(360) 848-6930

Fax

(360) 848-6948

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. Gaetano (Guy) Anthony Dipasqua, R.PH.

Title

Vice President, Phar

Phone

(360) 650-8204

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

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

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": "1316970650",
    "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": "2601 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744748",
            "telephone_number": "360-848-6930",
            "fax_number": "360-848-6948"
        }
    ],
    "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": "56467",
            "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": "4927298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6022651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggen Food & Pharmacy, TOP Food & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Jean-Weber Guy
• Thomas Lee Haan
• Davis Hackman
• Collin Brooksby Hafen, DO
• Amber Janae Hagel, MA, CF-SLP
• Barbara J. Hahn, MD
• Bryan Boyd Hair, MD
• Affan Haleem, MD
• Keri L D Halgren, DDS
• Paul M. Halgren, DDS,MSD

• Pharmacy in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pharmacy in Washington

• 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.