Individual provider Active NPI

Richard Hauver

  • Pharmacist
  • Sauk Rapids, MN
National Provider Identifier
1699117366
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
121364 Issued in MN
Practice address
940 Industrial Dr S Ste 102
Sauk Rapids, MN 56379-1235
Phone
(320) 230-1050
NPI assigned
Jul 23, 2013
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121364 MN Primary

Addresses

Primary practice location

940 Industrial Dr S Ste 102
Sauk Rapids, MN 56379-1235

Mailing address

940 Industrial Dr S Ste 102
Sauk Rapids, MN 56379-1235
Phone (320) 230-1050

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

State licenses

LicenseStateTypeSpecialty
121364MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Pharmacy of Minnesota LLC PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1699117366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 102",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791235",
            "telephone_number": "320-230-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 102",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791235",
            "telephone_number": "320-230-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUVER",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.