Active NPI
Danielle Nicole Hagedorn
- Pharmacist
- Pickerington, OH
National Provider Identifier
1740794304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03328733
- Practice address
- 1045 Hill Rd N
Pickerington, OH 43147-8666 - Phone
- (614) 759-2765
- NPI assigned
- Nov 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03328733 | OH | Primary |
Addresses
Primary practice location
1045 Hill Rd N
Pickerington, OH 43147-8666
Mailing address
13233 Durham Cir
Pickerington, OH 43147-8317
Phone (614) 738-9859
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03328733 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510963200000",
"number": "1740794304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13233 DURHAM CIR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478317",
"telephone_number": "614-738-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 HILL RD N",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478666",
"telephone_number": "614-759-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEDORN",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-18",
"last_updated": "2017-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03328733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.