RX Angels LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

265058 Issued in MN

Legal business name

RX ANGELS LLC

Practice address

4445 W 77TH St Ste 122
Edina, MN 55435-5134

Phone

(651) 214-1026

Fax

(651) 252-1263

NPI assigned

May 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marypat Habermas

Title

Ceo

Phone

(651) 214-1026

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rx Angels LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1154776748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 77TH ST",
            "address_2": "STE 122",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355133",
            "telephone_number": "651-214-1026",
            "fax_number": "651-252-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 77TH ST STE 122",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355134",
            "telephone_number": "651-214-1026",
            "fax_number": "651-252-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "HABERMAS",
        "authorized_official_first_name": "MARYPAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-214-1026"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "265058",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Angels LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Christine Russell, RD, CDE
• Margaret Patricia Russell, BS
• David G Rustad, MD
• Jill Harriet Rusterholz, M.D.
• Lisa Marie Rutford, MA, LPCC
• Barb Ryan, L.M.T.
• Glen Ryan, MD
• Waleed Saadedeen, MD
• Benjamin Saaribovre, DC
• Lauren Kensey Sabrowsky, PT

• Pharmacy in Edina, MN
• Providers in Edina, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.