Individual provider Active NPI

Michael Hagan, RPH

  • Pharmacist
  • Washington, DC
National Provider Identifier
1366571283
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14368 Issued in MD
Practice address
111 Michigan Avenue NW, 4 Main Suite 4847
Division of Pharmacy - Children'S National Hospital
Washington, DC 20010
Phone
(301) 572-6275
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14368 MD Primary

Addresses

Primary practice location

111 Michigan Avenue NW, 4 Main Suite 4847
Division of Pharmacy - Children'S National Hospital
Washington, DC 20010

Mailing address

PO Box 54
Lisbon, MD 21765-0054
Phone (443) 927-1788

Other practice location 1

15401 Maple Ridge Rd
Woodbine, MD 21797-8313
Phone (410) 963-2465

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14368MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1366571283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "LISBON",
            "state": "MD",
            "postal_code": "217650054",
            "telephone_number": "443-927-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVENUE NW, 4 MAIN SUITE 4847",
            "address_2": "DIVISION OF PHARMACY - CHILDREN'S NATIONAL HOSPITAL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "301-572-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15401 Maple Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbine",
            "state": "MD",
            "postal_code": "217978313",
            "country_code": "US",
            "telephone_number": "410-963-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.