Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265157879 Individual Practitioner Female Practitioner

Mariam Marzouk , SOLE

Pharmacist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Mariam Marzouk, SOLE is a registered healthcare professional specializing in Pharmacist in Eagan, MN. Practice services are available at 4241 JOHNNY CAKE RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4241 Johnny Cake Ridge Rd

Eagan, MN 551222235

Telephone 6516887041
Associated Practice Facility / Clinic
🏢 Grand St Paul Cvs Llc Facility NPI 1043310485

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
77 Specialists

Practicing in Eagan, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 124082

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist
124082 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Rebecca Laing , PharmD

Pharmacy - Community/Retail Pharmacy

NPI 1023606472

Doctor of Pharmacy (Pharm.D.)

Yeun Hee Yang

Nurse Practitioner - Family

NPI 1144973538
Jennifer Kane

Nurse Practitioner - Family

NPI 1730761255
Tonara Hing , APRN, CNP

Nurse Practitioner - Family

NPI 1801276621

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1821623190

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2022

Registered at 4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 551222235 (Tel: 6516887041)

📍
Updated Business Mailing Address October 05, 2022

Registered at 4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 551222235 (Tel: 6516887041)

👤
Provider Name / Credentials Updated October 05, 2022

Recorded as MARIAM MARZOUK, SOLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2022

Pharmacist (License #124082 in MN)

🟢
Initial NPI Registration & Enumeration October 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265157879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2022
Last Update: October 05, 2022
Sole Proprietor: Yes

Mailing Address

4241 Johnny Cake Ridge Rd

Eagan, MN 551222235

Phone: 6516887041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.