Active NPI
Abby Hauser
- Pharmacist
- Roseville, MN
National Provider Identifier
1013645290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125730
- Practice address
- 2700 Lincoln Dr
Roseville, MN 55113-1333 - Phone
- (651) 636-9369
- Fax
- (651) 636-4015
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 125730 | MN | Primary |
Addresses
Primary practice location
2700 Lincoln Dr
Roseville, MN 55113-1333
Mailing address
2700 Lincoln Dr
Roseville, MN 55113-1333
Phone (651) 636-9369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125730 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2700 Lincoln Dr
Roseville, MN 55113
Phone (651) 636-9369
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1013645290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 LINCOLN DR",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131333",
"telephone_number": "651-636-9369",
"fax_number": "651-636-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 LINCOLN DR",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131333",
"telephone_number": "651-636-9369",
"fax_number": "651-636-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "ABBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.