Catherine Rose Bangasser, PHARMD
Individual provider Active NPI Pharmacist · Hopkins, MN
NPI 1487266151 · NPPES record last updated Aug 23, 2020
Key facts
- NPI
- 1487266151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 121543 (MN)
- Practice address
- 1511 Highway 7
Hopkins, MN 55305-4739 - Phone
- (952) 939-1917
- NPI assigned
- Aug 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121543 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121543 | MN | Yes |
Addresses
Primary practice location
1511 Highway 7
Hopkins, MN 55305-4739
Mailing address
1511 Highway 7
Hopkins, MN 55305-4739
Phone (952) 939-1917
Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.