Individual provider Active NPI

Cara Chermak Rathsack, RPH

  • Ambulatory Care Pharmacist
  • Eden Prairie, MN
National Provider Identifier
1457117202
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
117413-9 Issued in MN
Practice address
12011 Technology Dr
Eden Prairie, MN 55344-3620
Phone
(952) 943-4828
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X 117413-9 MN
Ambulatory Care Pharmacist 1835P2201X 117413-9 MN Primary

Addresses

Primary practice location

12011 Technology Dr
Eden Prairie, MN 55344-3620

Mailing address

9035 Douglas Dr
Eden Prairie, MN 55347-3359
Phone (612) 910-0771

Other practice location 1

9035 Douglas Dr
Eden Prairie, MN 55347-3359
Phone (612) 910-0771

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
117413-9MNMDClinical Pharmacology Physician

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1457117202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 DOUGLAS DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473359",
            "telephone_number": "612-910-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 TECHNOLOGY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443620",
            "telephone_number": "952-943-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 Douglas Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553473359",
            "country_code": "US",
            "telephone_number": "612-910-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHSACK",
        "first_name": "CARA",
        "middle_name": "CHERMAK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "MN",
            "license": "117413-9",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "117413-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.