Active NPI
Jason Michael Haakinson, PHARMD
- Pharmacist
- Fullerton, CA
National Provider Identifier
1891520888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90117
- Practice address
- 900 S Harbor Blvd
Fullerton, CA 92832-3098 - Phone
- (714) 738-7532
- Fax
- (714) 738-7538
- NPI assigned
- Sep 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90117 | CA | Primary |
Addresses
Primary practice location
900 S Harbor Blvd
Fullerton, CA 92832-3098
Mailing address
3733 N Harbor Blvd Unit 15
Fullerton, CA 92835-1350
Phone (480) 318-4530
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90117 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1891520888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 N HARBOR BLVD UNIT 15",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351350",
"telephone_number": "480-318-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323098",
"telephone_number": "714-738-7532",
"fax_number": "714-738-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAKINSON",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-07",
"certification_date": "2024-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.