Individual provider Active NPI

Lanell Hagen

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1821431206
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5285 Issued in ND
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

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
46707NDMDCommunity Health Worker
RPH5285NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
W W Inc PastSince Jan 17, 2022 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.

Verify at the official NPI Registry.