Active NPI
Holly Marie Marweg, PHARMD
- Pharmacist
- Rogers, MN
National Provider Identifier
1922696392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124917
- Practice address
- 21455 John Milless Dr
Rogers, MN 55374-9431 - Phone
- (763) 428-2629
- NPI assigned
- Jan 1, 2021
- Last updated
- Jan 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124917 | MN | Primary |
Addresses
Primary practice location
21455 John Milless Dr
Rogers, MN 55374-9431
Mailing address
40 Saint Michael Pkwy Apt 313
Saint Michael, MN 55376-2203
Phone (763) 614-7916
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124917 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand St Paul CVS LLC | Past | Accepting new patients | |
| Grand St Paul CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1609459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609459200000",
"number": "1922696392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SAINT MICHAEL PKWY APT 313",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553762203",
"telephone_number": "763-614-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21455 JOHN MILLESS DR",
"city": "ROGERS",
"state": "MN",
"postal_code": "553749431",
"telephone_number": "763-428-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARWEG",
"first_name": "HOLLY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-01",
"last_updated": "2021-01-01",
"certification_date": "2021-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.