Individual provider Active NPI

Hailey Rose Bemboom, PHARMD, RPH

  • Pharmacist
  • Sartell, MN
National Provider Identifier
1497667976
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127547 Issued in MN
Practice address
1100 2ND St S
Sartell, MN 56377-2152
Phone
(320) 654-8542
NPI assigned
Sep 21, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 127547 MN Primary

Addresses

Primary practice location

1100 2ND St S
Sartell, MN 56377-2152

Mailing address

1615 15TH Ave SE Apt 236
Saint Cloud, MN 56304-2396
Phone (254) 640-4070

Other practice location 1

115 2nd Ave N
Sauk Rapids, MN 56379-1605
Phone (320) 253-6601

Other practice location 2

17 Division St
Waite Park, MN 56387-1349
Phone (320) 203-1035

Other practice location 3

2505 W Division St
Saint Cloud, MN 56301-3837
Phone (320) 251-9433

Other names 1

  • Hailey Rose Larson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1497667976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 15TH AVE SE APT 236",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042396",
            "telephone_number": "254-640-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772152",
            "telephone_number": "320-654-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Sauk Rapids",
            "state": "MN",
            "postal_code": "563791605",
            "country_code": "US",
            "telephone_number": "320-253-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Division St",
            "address_purpose": "LOCATION",
            "city": "Waite Park",
            "state": "MN",
            "postal_code": "563871349",
            "country_code": "US",
            "telephone_number": "320-203-1035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 W Division St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563013837",
            "country_code": "US",
            "telephone_number": "320-251-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMBOOM",
        "first_name": "HAILEY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "LARSON",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.