Haggen, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

57858 Issued in WA

Legal business name

HAGGEN, INC

Practice address

20115 74TH Ave NE
Arlington, WA 98223-4679

Phone

(360) 403-3861

Fax

(360) 403-3895

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 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": "1952334294",
    "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": "20115 74TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234679",
            "telephone_number": "360-403-3861",
            "fax_number": "360-403-3895"
        }
    ],
    "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",
        "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": "57858",
            "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": "6027429",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4930726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haggen Food & Pharmacy, TOP Food & Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Gutierrez, D.C.
• Marissa Guzman
• Elizabeth Jean Ha, LMHC-A
• Long Ha, RPH
• Paul W Haertig, L.M.P.
• Amberly Rae Halbert, PA-C
• Marcia Ann Haldane
• Brett Marshall Hall, M.D.
• Tommy Hall
• Laura C. Halverson, M.A.

• Pharmacy in Arlington, WA
• Providers in Arlington, 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.