HAZEN DRUG INC. — NPI 1710024807 (Licensed & Credentialed Pharmacist in HAZEN, ND)

CMS-1500 Box 24J / 33a • NPI

1710024807

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

183500000X

Licensed & Credentialed Pharmacist

Box 32 Service Location & ZIP+4

30 MAIN STREET, HAZEN, ND, 58545

Official NPPES Practice Location

Practice Phone & Referral Fax

(701) 748-2312

Fax: (701) 748-2637

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710024807 (HAZEN DRUG INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710024807` (NPI-2 Organization / Facility)
Provider / Legal Name	HAZEN DRUG INC.
Plain-English Specialty	Licensed & Credentialed Pharmacist NUCC Code: `183500000X` (Pharmacist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	30 MAIN STREET, HAZEN, ND, 58545
Practice Telephone / Fax	Tel: (701) 748-2312 \| Fax: (701) 748-2637
Administrative Mailing Address	30 MAIN STREET, HAZEN, ND, 58545
Enumeration & Last Sync	Enumerated: 2007-01-30 \| CMS Record Updated: 2009-01-23
Authorized Official	MICHAEL CHASE (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

30 MAIN STREET, HAZEN, ND, 58545

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Plain-English Taxonomy & CMS Crosswalk (183500000X)

What Does Taxonomy Code 183500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HAZEN DRUG INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183500000X` — Pharmacist Plain English: Licensed & Credentialed Pharmacist	State: ND \| License: `156` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HAZEN DRUG INC. (NPI #1710024807)