Active NPI
Paul Hagedorn, PHARMD
- Pharmacist
- Hendersonville, NC
National Provider Identifier
1710184361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19018
- Practice address
- 635 Greenville Hwy
Hendersonville, NC 28792-5757 - Phone
- (828) 393-6925
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18130 | AL | |
| Pharmacist | 183500000X | RPH023631 | GA | |
| Pharmacist | 183500000X | 0202211307 | VA | |
| Pharmacist | 183500000X | 19018 | NC | Primary |
Addresses
Primary practice location
635 Greenville Hwy
Hendersonville, NC 28792-5757
Mailing address
635 Greenville Hwy
Hendersonville, NC 28792-5757
Phone (828) 393-6925
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18130 | AL | MD | Pharmacist |
| RPH023631 | GA | MD | Pharmacist |
| 19018 | NC | MD | Pharmacist |
| 0202211307 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix North Carolina, LP | Past | Accepting new patients | |
| Publix North Carolina, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1427548080
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1578360525
-
- Community/Retail Pharmacy
- Arden, NC
- NPI 1063439206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1710184361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 GREENVILLE HWY",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925757",
"telephone_number": "828-393-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 GREENVILLE HWY",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925757",
"telephone_number": "828-393-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEDORN",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18130",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023631",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211307",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.