NPIMap

Organization Active NPI

F Craig Hazen Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Ogden, UT
National Provider Identifier
1598766545
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
F CRAIG HAZEN INC
Doing business as
Medicine Shoppe
Practice address
2562 Monroe Blvd
Ogden, UT 84401-2514
Phone
(801) 399-1151
Fax
(801) 399-1154
NPI assigned
Aug 2, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
F Craig Hazen, RPHNPI 1689675621
Title
Owner/President
Phone
(801) 399-1151

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3272591703 UT
Community/Retail Pharmacy 3336C0003X UT Primary

Addresses

Primary practice location

2562 Monroe Blvd
Ogden, UT 84401-2514

Mailing address

2562 Monroe Blvd
Ogden, UT 84401-2514
Phone (801) 399-1151

Other identifiers 2

IdentifierTypeStateIssuer
4600474OtherUTNCPDP #
870282481003MedicaidUT

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598766545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012514",
            "telephone_number": "801-399-1151",
            "fax_number": "801-399-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 MONROE BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012514",
            "telephone_number": "801-399-1151",
            "fax_number": "801-399-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F CRAIG HAZEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-399-1151",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "3272591703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4600474",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870282481003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.