DR. MARYPAT HABERMAS (NPI# 1609905686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609905686 |
| Entity Type | Individual |
| Full Name | DR. MARYPAT HABERMAS |
| Credential | PHARM D, CGP |
| Practice Address |
7349 Bush Lake Dr Bloomington MN 55438 |
| Mailing Address |
7349 Bush Lake Dr Bloomington MN 55438-1683 |
| Practice Telephone | 6512141026 |
| Mailing Telephone | 6512141026 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
116619 | MN | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
116619 | MN | Pharmacy Service Providers |
| Street Address |
7349 BUSH LAKE DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1609211408 | Katheryn M Humphrey | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-07 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235497488 | Elise Anne Mccuiston | Pharmacist | 451 S Landmark Ave, Bloomington, IN 47403-5004 | 2012-04-25 |
| 1912217357 | Jennifer Gale Reiter | Pharmacist | 1302 S. Rogers Street, Bloomington, IN 47403 | 2010-10-19 |
| 1073130373 | Savanna Spice | Pharmacist | 500 S Liberty Dr, Bloomington, IN 47403-1924 | 2020-07-02 |
| 1033759899 | Jerry Walter Frederick | Pharmacist | 4025 S Old State Road 37, Bloomington, IN 47401-7482 | 2020-01-09 |
| 1326684267 | Derek Brent Fields | Pharmacist | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-11-26 |
| 1457906844 | Jayna Marlene Osborne | Pharmacist | 601 W 2nd St, Bloomington, IN 47403-2317 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1922479062 | Shelby Setniker-eschiti | Pharmacist | 2172 German St, Maplewood, MN 55109-2853 | 2015-10-15 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1104259795 | Megan Nimke | Pharmacist | 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 | 2013-08-19 |
| 1790033363 | Mary Sauer | Pharmacist | 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
Please comment or provide details below to improve the information on DR. MARYPAT HABERMAS.
| 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.