OrganizationActive
Haggen Opco North LLC
NPI 1063468064 · Community/Retail Pharmacy · Grants Pass, OR
Provider details
- NPI number
- 1063468064
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gaetano Dipasqua, Corporate Senior Vice President, Ph(360) 650-8204
- License
- 0002020 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1690 Sw Allen Creek Rd
Grants Pass, OR 97527-5559
Phone: (541) 471-9043
Fax: (541) 471-9047
Street-level locationGet directions
Mailing address
2211 Rimland Dr
Bellingham, WA 98226-5664
Other names (DBA / former)
- Doing business as
- Haggen Pharmacy #2102
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2015-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.