DANIELLE GUNDERSON (NPI# 1710268222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710268222 |
Entity Type | Individual |
Full Name | DANIELLE GUNDERSON |
Credential | PHARM D, MBA |
Practice Address |
110 Michigan Ave W Ste C Walker MN 56484-2274 |
Practice Telephone | 2185474734 |
Practice Fax Number | 2185474523 |
Mailing Telephone | 2185474734 |
Mailing Fax Number | 2185474523 |
Enumeration Date | 2011-08-30 |
Last Update Date | 2018-12-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 119285 | MN | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 18540 | MD | Pharmacy Service Providers |
N | 183500000X | Pharmacist | A1-0003715 | DE | Pharmacy Service Providers |
Street Address |
110 MICHIGAN AVE W STE C |
City | WALKER |
State | MN |
Zip Code | 56484-2274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058259 | Janna Wiele | Social Worker | 301 4th St S, Walker, MN 56484 | 2020-06-25 |
1649831264 | Alyssa Sharon Robley | Physical Therapist | 106 Fifth St S, Walker, MN 56484 | 2019-06-25 |
1447733639 | Walker Adult Day Services | Clinic/Center | 6835 Cranberry Bog Trl Nw, Walker, MN 56484 | 2018-09-13 |
1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
1699178707 | David Farder | Physical Therapist | 106 5th St S, Walker, MN 56484 | 2014-10-02 |
1083053292 | Gary F Wehrwein | Pharmacist | 1523 Suzanne Drive Ne, Longville, MN 56484 | 2013-06-20 |
1306141882 | First Choice Therapy | Clinic/Center | 6068 E Ottertail Rd Nw, Walker, MN 56484 | 2011-01-14 |
1033421029 | Walker Wellness Chiropractic Center, Pa | Chiropractor | 215 Garden Street, Walker, MN 56484 | 2010-07-08 |
1538343496 | Walker Wellness Chiropractic | Chiropractor | 507 Front Street West, Walker, MN 56484 | 2007-12-27 |
1629263827 | Shingobee Island Lodge Incorporated | Community Based Residential Treatment Facility, Mental Illness | 7185 Dewdrop Trail Nw, Walker, MN 56484 | 2007-09-11 |
Find all providers in zip 56484 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457845000 | Mason R Miley | Pharmacist | 29881 Walker Rd S, Walker, LA 70785-7909 | 2018-06-18 |
1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
1144503764 | Paul Douglas Allen | Pharmacist | 30168 Stump St, Walker, LA 70785-7336 | 2011-09-20 |
1487936159 | Wlliam J Buchfield | Pharmacist | 33088 Mack Rd, Walker, LA 70785-4216 | 2011-09-19 |
1467767749 | Hannah Jones | Pharmacist | 5000 O'donovan Boulevard, Walker, LA 70785-3700 | 2010-08-11 |
1295837714 | Alex Anthony Capace | Pharmacist | 28145 Walker Rd S, Walker, LA 70785-6027 | 2006-09-04 |
1104805456 | Linda L Forrest | Pharmacist | 3410 Remembrance Rd Nw, Walker, MI 49534-7744 | 2006-01-14 |
Find all providers in WALKER |
Please comment or provide details below to improve the information on DANIELLE GUNDERSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.