Haggen Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

57696 Issued in WA

Legal business name

HAGGEN INC

Practice address

1201 N 175TH St
Shoreline, WA 98133-5064

Phone

(206) 533-2861

Fax

(206) 533-2895

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew J Charter, RPH

Title

Vice President Pharmay

Phone

(360) 650-8316

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TOP 21 Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1770516015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 175TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335064",
            "telephone_number": "206-533-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 175TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335064",
            "telephone_number": "206-533-2861",
            "fax_number": "206-533-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "CHARTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMAY",
        "authorized_official_telephone_number": "360-650-8316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "57696",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026983",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4930536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOP 21",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisha Dyan Guthery-Morse, LMHCA
• Sigrid Pakula Guyton, M.D.
• Joel S Hagedorn, M.D.
• Olivia Hagen
• Amy Hagerstrom, LSWAIC
• Lisa E Hales, LMP
• Michelle Ann Hall, LMP
• Kirsten Hallock
• Kirsten Rose Hallstrom Henebry, PSYD
• Frances Hamanishi

• Pharmacy in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.