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LUCAS ROBERT VANDERGON
NPI 1710653001
Pharmacist in Plymouth, MN

Active since August 18, 2021
3255 VICKSBURG LN N, PLYMOUTH, MN 55447(763) 253-8917 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucas Robert Vandergon NPPES

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

LUCAS ROBERT VANDERGON (NPI 1710653001) is an individual pharmacist in Plymouth, Minnesota, licensed in Minnesota (125352) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1710653001
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLUCAS ROBERT VANDERGON
Location Address3255 VICKSBURG LN NPlymouth, MN 55447-1317
Mailing Address8822 Shadyview Ln NMaple Grove, MN 55311-1490 · (763) 234-9730
Phone(763) 253-8917
Sole ProprietorNo
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1710653001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MN · 125352
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.
3255 VICKSBURG LN N, Plymouth, MN 55447
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Other Providers at the Same Location NPPES 7

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

MICHELLE LUEBKE
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 235-8917
DR. TAMERA LYNN HAASE PHARMD
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917
DR. LUKE GEORGE BORMAN PHARM.D.
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917
WALGREEN CO
Pharmacy
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917
HAZEM HASSANEIN
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917
LILY M ZELIXON
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917
ROBERT GALINSON
Pharmacist
3255 VICKSBURG LN N
PLYMOUTH, MN 55447
Hennepin County (763) 253-8917

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 Lucas Vandergon's NPI number?

The NPI number for Lucas Vandergon is 1710653001. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Lucas Vandergon located?

Lucas Vandergon practices at 3255 Vicksburg Ln N, Plymouth, MN 55447. The listed phone number is (763) 253-8917.

What is Lucas Vandergon'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 Lucas Vandergon was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.