Haggen, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

4024 Issued in WA

Legal business name

HAGGEN, INC

Doing business as

Haggen Food & Pharmacy, TOP Food & Drug

Practice address

1301 Avenue D
Snohomish, WA 98290-1711

Phone

(360) 568-5154

Fax

(360) 568-0722

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. Gaetano (Guy) Anthony Dipasqua, R.PH.

Title

Vice President, Phar

Phone

(360) 650-8204

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Haggen Food & Pharmacy, TOP Food & Drug 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": "1381276800000",
    "number": "1881627123",
    "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": "1301 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901711",
            "telephone_number": "360-568-5154",
            "fax_number": "360-568-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "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": "4024",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4920864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggen Food & Pharmacy, TOP Food & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ji Won Gwak, DDS
• Christine Haberthier, LMP
• Mary E. Haff, LMP
• Debra Hagen
• Haggen Opco North LLC (Haggen Pharmacy #113)
• Theodore D Haines, DDS
• Hall and Rodriguez LLC
• Candace Erin Hammer
• Courtney Melissa Hammer, D.C.
• Rochele Aldea Hammond, MS, OTL

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

• 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.