Provider Demographics
NPI:1215957808
Name:HYGEIA, INC.
Entity type:Organization
Organization Name:HYGEIA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARGETT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:252-244-1086
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:VANCEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28586-0218
Mailing Address - Country:US
Mailing Address - Phone:252-244-1086
Mailing Address - Fax:252-244-2264
Practice Address - Street 1:421 FARM LIFE AVE
Practice Address - Street 2:
Practice Address - City:VANCEBORO
Practice Address - State:NC
Practice Address - Zip Code:28586
Practice Address - Country:US
Practice Address - Phone:252-244-1086
Practice Address - Fax:252-244-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0255364Medicaid
NC7703462Medicaid
NC3416799OtherNABP
NC3416799OtherNABP