Organization Active NPI

Haggen, Inc

  • Pharmacy
  • Bellingham, WA
National Provider Identifier
1831242254
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
58955 Issued in WA
Legal business name
HAGGEN, INC
Practice address
1401 12TH St
Bellingham, WA 98225-7417
Phone
(360) 733-9277
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mr. Gaetano (Guy) Anthony Dipasqua, R.PH.
Title
Vice President, Phar
Phone
(360) 650-8204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 58955 WA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1401 12TH St
Bellingham, WA 98225-7417

Mailing address

2211 Rimland Drive
Suite 300
Bellingham, WA 98226
Phone (360) 733-8720

Other identifiers 1

IdentifierTypeStateIssuer
6030639MedicaidWA

Other names 1

  • Haggen Food & Pharmacy, TOP Food & Drug Doing business as

National Provider Directory

National Provider Directory

Locations

1401 12th St
Bellingham, WA 98225
Phone (360) 733-4370

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1831242254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RIMLAND DRIVE",
            "address_2": "SUITE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-733-8720",
            "fax_number": "360-752-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 12TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257417",
            "telephone_number": "360-733-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DIPASQUA",
        "authorized_official_first_name": "GAETANO (GUY)",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHAR",
        "authorized_official_telephone_number": "360-650-8204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "58955",
            "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": "6030639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggen Food & Pharmacy, TOP Food & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.