Marypat Habermas, PHARM D, CGP

Primary specialty

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

License

116619 Issued in MN

Practice address

7349 Bush Lake Dr
Bloomington, MN 55438

Phone

(651) 214-1026

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1609905686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 BUSH LAKE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381683",
            "telephone_number": "651-214-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 BUSH LAKE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55438",
            "telephone_number": "651-214-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAS",
        "first_name": "MARYPAT",
        "name_prefix": "Dr.",
        "credential": "PHARM D, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MN",
            "license": "116619",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "116619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Guzman, MA, LPCC
• H.O.M.E. Program
• Michael Haag, PHARMD
• Ismahaan Haaji
• Laura Haala, OTR
• Benjamin David Hable
• Colby Thomas Hack
• Sarah Hackworthy
• Roy Haddad, LPCC, LADC
• Hadden Eyecare Associates

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomington, MN
• Providers in Bloomington, 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 Aug 21, 2018; 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.