DEAVEN GISSLEN PHARMD
NPI 1467282798
Pharmacist in Red Lake, MN

Active since August 02, 2024
24760 HOSPITAL RD, RED LAKE, MN 56671(218) 679-3912 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaven Gisslen Pharmd NPPES

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

DEAVEN GISSLEN PHARMD (NPI 1467282798) is an individual pharmacist in Red Lake, Minnesota, licensed in Idaho (P10715) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1467282798
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEAVEN GISSLENCredential: PHARMD
Location Address24760 HOSPITAL RDRed Lake, MN 56671
Mailing Address24760 Hospital RdRed Lake, MN 56671 · (218) 679-3912
Sole ProprietorYes
Enumeration DateAugust 2, 2024
NPPES CertifiedJuly 22, 2024
NPI 1467282798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P10715
Definition
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.
24760 HOSPITAL RD, Red Lake, MN 56671

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Nurse Practitioner
24760 HOSPITAL RD
RED LAKE, MN 56671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Dental Hygienist
24760 HOSPITAL RD
RED LAKE, MN 56671
Dental Hygienist
24760 HOSPITAL RD
REDLAKE, MN 56671
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
24760 HOSPITAL RD
RED LAKE, MN 56671
Pharmacist
24760 HOSPITAL RD
RED LAKE, MN 56671
Dental Hygienist
24760 HOSPITAL RD
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 Deaven Gisslen's NPI number?

The NPI number for Deaven Gisslen is 1467282798. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Deaven Gisslen located?

Deaven Gisslen practices at 24760 Hospital Rd, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Deaven Gisslen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Deaven Gisslen was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.