Kyal Hagerty

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

540 E Midlothian Blvd
Youngstown, OH 44502-2545

Phone

(330) 782-0807

NPI assigned

Aug 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 00408

  • Community/Retail Pharmacy
  • Youngstown, OH
  • NPI 1073622395
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1912626482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022545",
            "telephone_number": "330-782-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022545",
            "telephone_number": "330-782-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "KYAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kyal.R.Hagerty@Riteaid.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "RITE AID OF OHIO INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work Email",
            "address_1": "540 E Midlothian Blvd",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445022545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khalid A Habo, M.D.
• Bethany Haddle
• Justina Hafely
• Wellington W Hager, LICDC, LPC
• Joann Marie Hagerty
• Michael Haggerty, MD
• Patrick J Haggerty, MD
• Grant Hagglund, D.O.
• Shelby Hagler, RBT
• Karen L. Hahn, R.D.,L.D.

• Pharmacy Technician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pharmacy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.