Muthiaru Mugethe Mburu, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

118645 Issued in MN

Practice address

12480 Aberdeen St NE
Blaine, MN 55449-4721

Phone

(763) 862-6596

NPI assigned

Jan 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Blaine, MN
  • NPI 1932115573
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1356672091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 PLEASURE CREEK PKWY W",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344223",
            "telephone_number": "612-532-9346",
            "fax_number": "763-390-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 ABERDEEN ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494721",
            "telephone_number": "763-862-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "MUTHIARU",
        "middle_name": "MUGETHE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "118645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Mattscheck, D.M.D.
• Carly L. Mattson, PT
• Quinn Antonia Marie Mavetz, MA
• Maxton Agency LLC
• Maxton Agency LLC
• Alisha Duffy McAfee, O.D.
• Shawn McCarthy, D.D.S., M.S.
• Melissa A McClellan, CNP
• Brian McDonald
• Freda Herna-Hayes McIntosh

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Blaine, MN
• Providers in Blaine, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.