HAGGEN OPCO NORTH LLC (NPI# 1013964477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013964477 |
| Entity Type | Organization |
| Organization Name | HAGGEN OPCO NORTH LLC |
| Other Organization Name | HAGGEN PHARMACY #113 |
| Practice Address |
17520 State Route 9 Se Snohomish WA 98296-8320 |
| Mailing Address |
2211 Rimland Dr Ste 300 Bellingham WA 98226-5664 |
| Practice Telephone | 3606681407 |
| Practice Fax Number | 3606681215 |
| Mailing Telephone | 3607338720 |
| Mailing Fax Number | 3607526437 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | GAETANO DIPASQUA (CORPORATE SENIOR VICE PRESIDENT, PH) |
| Authorized Official Telephone | 3606508204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60536200 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2150626 | 01 |
| Other Name | Type Code |
|---|---|
| Haggen Pharmacy #113 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467658864 | Haggen Opco North LLC | Pharmacy | 61155 S Hwy 97, Bend, OR 97702-2523 | 2007-06-22 |
| 1366499824 | Haggen Opco North LLC | Pharmacy | 14300 Sw Barrow Rd, Tigard, OR 97223 | 2006-05-30 |
| 1548216542 | Haggen Opco North LLC | Pharmacy | 1675 W 18th Ave, Eugene, OR 97402-3814 | 2006-05-25 |
| 1457307456 | Haggen Opco North LLC | Pharmacy | 3075 Hilyard St, Eugene, OR 97405-3719 | 2006-05-25 |
| 1679529291 | Haggen Opco North LLC | Durable Medical Equipment & Medical Supplies | 1128 N Miller St, Wenatchee, WA 98801-1541 | 2006-05-25 |
| 1386690204 | Haggen Opco North LLC | Pharmacy | 450 N Wilbur Ave, Walla Walla, WA 99362-2254 | 2006-05-25 |
| 1154377786 | Haggen Opco North LLC | Pharmacy | 3520 Pacific Ave Se, Olympia, WA 98501-2121 | 2006-05-25 |
| 1972559979 | Haggen Opco North LLC | Pharmacy | 16199 Boones Ferry Rd, Lake Oswego, OR 97035-4201 | 2006-05-25 |
| 1063468064 | Haggen Opco North LLC | Pharmacy | 1690 Sw Allen Creek Rd, Grants Pass, OR 97527-5559 | 2006-05-25 |
| 1851347876 | Haggen Opco North LLC | Pharmacy | 8611 Steilacoom Blvd Sw, Lakewood, WA 98498-4716 | 2006-05-25 |
| Street Address |
17520 STATE ROUTE 9 SE |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98296-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382049 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 17520 State Route 9 Se, Snohomish, WA 98296-8320 | 2016-04-29 |
| 1528274917 | Elango S Ramaiyan | Pharmacist | 17520 State Route 9 Se, Snohomish, WA 98296 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669887618 | Jacob Sung | Dentist | 16510 Wa-9 #102, Snohomish, WA 98296 | 2014-06-29 |
| 1972849396 | Jenny L Martinsen | Speech-Language Pathologist | 14311 Snohmish Cascade Dr, Snohomish, WA 98296 | 2012-12-13 |
| 1639429244 | Kathi Marie Jermulowske | Occupational Therapy Assistant | 16409 65th Ave Se, Snohomish, WA 98296 | 2012-09-12 |
| 1467755439 | Courtney Melissa Hammer | Chiropractor | 17416 Sr 9 Se, Suite B, Snohomish, WA 98296 | 2010-12-14 |
| 1205020591 | Kristy Marie Thompson | Family Medicine | 17432 State Route 9 Se Ste 201, Snohomish, WA 98296 | 2007-08-30 |
| 1306336896 | Amy L Bader | Massage Therapist | 18122 Sr 9 Se, Suite D, Snohomish, WA 98296 | 2018-05-10 |
| 1215946017 | Cuong N. Hong | Dentist | 13119 Seattle Hill Rd, Suite 105, Snohomish, WA 98296-3400 | 2006-08-08 |
| 1669787818 | Seattle Hill Sport and Spine Physical Therapy | Clinic/Center | 13119 Seattle Hill Rd, Suite 107, Snohomish, WA 98296-3400 | 2010-08-12 |
| 1598836744 | Sara Wees | Optometrist | 13119 Seattle Hill Rd, Bldg 1 Ste 102, Snohomish, WA 98296-3400 | 2006-11-10 |
| 1881150431 | Dme Nw LLC | Durable Medical Equipment & Medical Supplies | 13508 47th Dr Se, Snohomish, WA 98296-4244 | 2019-02-19 |
| Find all providers in zip 98296 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053580548 | Fred Meyer Stores Inc | Pharmacy | 2801 Bickford Ave, Snohomish, WA 98290-1734 | 2008-02-28 |
| 1881627123 | Haggen, Inc | Pharmacy | 1301 Avenue D, Snohomish, WA 98290-1711 | 2006-07-09 |
| 1700223526 | Matrx Pharmacy, LLC | Pharmacy | 1030 Avenue D, Ste 2, Snohomish, WA 98290-2086 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.