Active NPI
Haggen Inc
Doing business as Top 39
- Pharmacy
- Federal Way, WA
National Provider Identifier
1972536217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 3866
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4920648 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 6009245 | Medicaid | WA |
Other names 1
- TOP 39
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Federal Way, WA
- NPI 1891765772
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.