Active NPI
Lanell Hagen
- Pharmacist
- Fargo, ND
National Provider Identifier
1821431206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5285
- Practice address
- 2800 Broadway N
Fargo, ND 58102-1420 - Phone
- (701) 293-0221
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5285 | ND | Primary |
| Community Health Worker | 172V00000X | 46707 | ND |
Addresses
Primary practice location
2800 Broadway N
Fargo, ND 58102-1420
Mailing address
2800 Broadway N
Fargo, ND 58102-1420
Phone (701) 293-0221
Other practice location 1
4476 31st Ave S Ste 105
Fargo, ND 58104-4532
Phone (701) 639-6969
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 |
|---|---|---|---|
| 46707 | ND | MD | Community Health Worker |
| RPH5285 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W W Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1821431206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021420",
"telephone_number": "701-293-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021420",
"telephone_number": "701-293-0221"
}
],
"practiceLocations": [
{
"address_1": "4476 31st Ave S Ste 105",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581044532",
"country_code": "US",
"telephone_number": "701-639-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGEN",
"first_name": "LANELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5285",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "ND",
"license": "46707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.