Organization Active NPI

Haggen Opco North LLC

  • Community/Retail Pharmacy
  • Wenatchee, WA
National Provider Identifier
1679529291
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60534402 Issued in WA
Legal business name
HAGGEN OPCO NORTH LLC
Practice address
1128 N Miller St
Wenatchee, WA 98801-1541
Phone
(509) 662-2942
Fax
(509) 665-9170
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Gaetano Dipasqua
Title
Corporate Senior Vice Presiden
Phone
(360) 650-8204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60534402 WA Primary

Addresses

Primary practice location

1128 N Miller St
Wenatchee, WA 98801-1541

Mailing address

2211 Rimland Dr
Suite 300
Bellingham, WA 98226-5664
Phone (360) 733-8720

Other identifiers 1

IdentifierTypeStateIssuer
2150297OtherPK

Other names 1

  • HAGGEN PHARMACY #103 Doing business as

National Provider Directory

National Provider Directory

Member of 7

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 33)

1120 Campbell St
#2084
Baker City, OR 97814
Phone (541) 524-0416

8155 SW Hall Blvd
#2085
Beaverton, OR 97008
Phone (503) 643-3437

61155 S Highway 97
#2087
Bend, OR 97702
Phone (541) 382-5742

14800 SE Sunnyside Rd
#2079
Clackamas, OR 97015
Phone (503) 658-4374

1675 W 18th Ave
#2098
Eugene, OR 97402
Phone (541) 485-0427

1690 SW Allen Creek Rd
#2102
Grants Pass, OR 97527
Phone (541) 471-9043

211 N 8th St
#2114
Klamath Falls, OR 97601
Phone (541) 273-5506

2740 S 6th St
#2122
Klamath Falls, OR 97603
Phone (541) 273-3515

16199 Boones Ferry Rd
#2081
Lake Oswego, OR 97035
Phone (503) 635-6630

10830 SE Oak St
#2090
Milwaukie, OR 97222
Phone (503) 652-5443

5415 Main St
#2082
Springfield, OR 97478
Phone (541) 736-3418

14300 SW Barrows Rd
#2074
Tigard, OR 97223
Phone (503) 590-4697

1855 Blankenship Rd
#2083
West Linn, OR 97068
Phone (503) 723-9990

2900 Wheaton Way
#139
Bremerton, WA 98310
Phone (360) 377-0933

12725 1st Ave S
#119
Burien, WA 98168
Phone (206) 242-7942

7601 Evergreen Way
#127
Everett, WA 98203
Phone (425) 355-9303

31009 Pacific Hwy S
#143
Federal Way, WA 98003
Phone (253) 946-4033

8611 Steilacoom Blvd SW
#131
Lakewood, WA 98498
Phone (253) 582-4149

1233 N Liberty Lake Rd
#123
Liberty Lake, WA 99019
Phone (509) 893-1202

2800 Milton Way
Ste 10
Milton, WA 98354
Phone (253) 344-4830

19881 State Route 2
#101
Monroe, WA 98272
Phone (360) 794-5870

3520 Pacific Ave SE
#129
Olympia, WA 98501
Phone (360) 491-0330

114 E Lauridsen Blvd
#107
Port Angeles, WA 98362
Phone (360) 452-4410

3355 Bethel Rd SE
#121
Port Orchard, WA 98366
Phone (360) 876-6064

11012 Canyon Rd E
#151
Puyallup, WA 98373
Phone (253) 537-3808

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1679529291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RIMLAND DR",
            "address_2": "SUITE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265664",
            "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": "1128 N MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011541",
            "telephone_number": "509-662-2942",
            "fax_number": "509-665-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN OPCO NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "GAETANO",
        "authorized_official_title_or_position": "CORPORATE SENIOR VICE PRESIDEN",
        "authorized_official_telephone_number": "360-650-8204"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60534402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAGGEN PHARMACY #103",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.