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LISA GUNDERSON PHARMD
NPI 1639479207
Pharmacist in East Grand Forks, MN

Active since October 28, 2010
1402 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721(218) 773-5610 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2023, Jun 20, 2016 (2 updates tracked since 2016).

About Lisa Gunderson Pharmd NPPES

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

LISA GUNDERSON PHARMD (NPI 1639479207) is an individual pharmacist in East Grand Forks, Minnesota, licensed in Minnesota (125524) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1639479207
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLISA GUNDERSONCredential: PHARMD
Location Address1402 CENTRAL AVE NEEast Grand Forks, MN 56721-1605
Mailing Address1402 Central Ave NeEast Grand Forks, MN 56721-1605 · (218) 773-5610
Phone(218) 773-5610
Sole ProprietorNo
Enumeration DateOctober 28, 2010
Last NPPES UpdateApril 8, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1639479207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MN · 125524✔ Licensed in AZ · S016978
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.
1402 CENTRAL AVE NE, East Grand Forks, MN 56721
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Other Providers at the Same Location NPPES

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

WALGREEN CO
Pharmacy
1402 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Polk County (218) 773-5610

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 Lisa Gunderson's NPI number?

The NPI number for Lisa Gunderson is 1639479207. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Lisa Gunderson located?

Lisa Gunderson practices at 1402 Central Ave NE, East Grand Forks, MN 56721. The listed phone number is (218) 773-5610.

What is Lisa Gunderson'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 Lisa Gunderson was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.