SAMANTHA GUSTAFSON
NPI 1326334525
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Red Lake, MN

Active since June 26, 2011
24760 HOSPITAL DRIVE, RED LAKE, MN 56671(218) 679-2825 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2020, May 8, 2020 (2 updates tracked since 2020).

About Samantha Gustafson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA GUSTAFSON (NPI 1326334525) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Red Lake, Minnesota, licensed in Minnesota (119413) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1326334525
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameSAMANTHA GUSTAFSON
Location Address24760 HOSPITAL DRIVERed Lake, MN 56671
Mailing Address24769 Hospital DriveRed Lake, MN 56671
Sole ProprietorYes
Enumeration DateJune 26, 2011
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
NPI 1326334525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in MN · 119413
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License 119413 (MN)
24760 HOSPITAL DRIVE, Red Lake, MN 56671

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Dentist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Social Worker (Clinical)
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Registered Nurse
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Pharmacist
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Clinical Nurse Specialist (Psychiatric/Mental Health)
24760 HOSPITAL DRIVE
REDLAKE, MN 56671
Pharmacist
24760 HOSPITAL DRIVE, HOSPITAL
RED LAKE, MN 56671
Physician Assistant
24760 HOSPITAL DRIVE
RED LAKE, MN 56671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Gustafson's NPI number?

The NPI number for Samantha Gustafson is 1326334525. It was assigned to this individual provider in the NPPES registry on June 26, 2011.

Where is Samantha Gustafson located?

Samantha Gustafson practices at 24760 Hospital Drive, Red Lake, MN 56671. The listed phone number is (218) 679-2825.

What is Samantha Gustafson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Samantha Gustafson was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.