Individual provider Active NPI

Nicholas Hagmann

  • Pharmacist
  • Gretna, NE
National Provider Identifier
1811402472
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11865 Issued in NE
Practice address
11350 Wickersham Blvd
Gretna, NE 68028-6979
Phone
(402) 881-3687
Fax
(402) 881-3533
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11865 NE Primary

Addresses

Primary practice location

11350 Wickersham Blvd
Gretna, NE 68028-6979

Mailing address

11350 Wickersham Blvd
Gretna, NE 68028-6979
Phone (402) 881-3687

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

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1811402472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 WICKERSHAM BLVD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286979",
            "telephone_number": "402-881-3687",
            "fax_number": "402-881-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 WICKERSHAM BLVD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286979",
            "telephone_number": "402-881-3687",
            "fax_number": "402-881-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMANN",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.