Active NPI
Gary Lee Hackett, RPH
- Pharmacist
- Redding, CA
National Provider Identifier
1982612917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH29152
- Practice address
- 3645 Eureka Way
Redding, CA 96001-0177 - Phone
- (530) 243-5313
- Fax
- (530) 243-1576
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH29152 | CA | Primary |
Addresses
Primary practice location
3645 Eureka Way
Redding, CA 96001-0177
Mailing address
3645 Eureka Way
Redding, CA 96001-0177
Phone (530) 243-5313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA413950 | Medicaid | CA |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH29152 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1982612917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960010177",
"telephone_number": "530-243-5313",
"fax_number": "530-243-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 EUREKA WAY",
"city": "REDDING",
"state": "CA",
"postal_code": "960010177",
"telephone_number": "530-243-5313",
"fax_number": "530-243-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH29152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA413950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.