Organization Active NPI

Haggen Inc

Doing business as Top 39

  • Pharmacy
  • Federal Way, WA
National Provider Identifier
1972536217
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
3866 Issued in WA
Legal business name
HAGGEN INC
Doing business as
Top 39
Practice address
31515 20TH Ave S
Federal Way, WA 98003-5458
Phone
(253) 839-9322
NPI assigned
Jul 9, 2006
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Andrew Joseph Charter, RPH
Title
Vice President Pharmacy
Phone
(360) 650-8316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3866 WA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

31515 20TH Ave S
Federal Way, WA 98003-5458

Mailing address

31515 20TH Ave S
Federal Way, WA 98003-5458

Other identifiers 2

IdentifierTypeStateIssuer
4920648OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6009245MedicaidWA

Other names 1

  • TOP 39 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1972536217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31515 20TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31515 20TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035458",
            "telephone_number": "253-839-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "CHARTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT  PHARMACY",
        "authorized_official_telephone_number": "360-650-8316",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "3866",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4920648",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009245",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOP 39",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.