Individual provider Active NPI

Terri Hasiak

  • Pharmacist
  • Papillion, NE
National Provider Identifier
1699375816
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15039 Issued in NE
Practice address
11650 S 73Rd St
Papillion, NE 68046-1500
Phone
(402) 597-5056
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15039 NE Primary

Addresses

Primary practice location

11650 S 73Rd St
Papillion, NE 68046-1500

Mailing address

16605 S 87TH St
Papillion, NE 68046-5658

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1514pharmacydept@hy-vee.com

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

State licenses

LicenseStateTypeSpecialty
15039NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1699375816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 S 87TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S 73RD ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461500",
            "telephone_number": "402-597-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASIAK",
        "first_name": "TERRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "15039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1514pharmacydept@hy-vee.com",
            "affiliation": "N",
            "address_1": "16605 S 87th St",
            "city": "Papillion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680465658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.