Active NPI
Ryan D Lundell, R.PH.
- Pharmacotherapy Pharmacist
- St. Cloud, MN
National Provider Identifier
1043223779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 116665-5
- Practice address
- St. Cloud Veterans Affairs Medical Center
4801 8TH Street North
St. Cloud, MN 56303-2099 - Phone
- (320) 255-6465
- Fax
- (320) 255-6360
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 116665-5 | MN | |
| Pharmacist | 183500000X | 4721 | ND | |
| Pharmacotherapy Pharmacist | 1835P1200X | 116665-5 | MN | Primary |
Addresses
Primary practice location
St. Cloud Veterans Affairs Medical Center
4801 8TH Street North
St. Cloud, MN 56303-2099
Mailing address
1 Michaels Court
Sartell, MN 56377-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4721 | ND | MD | Pharmacist |
| 116665-5 | MN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1043223779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MICHAELS COURT",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. CLOUD VETERANS AFFAIRS MEDICAL CENTER",
"address_2": "4801 8TH STREET NORTH",
"city": "ST. CLOUD",
"state": "MN",
"postal_code": "563032099",
"telephone_number": "320-255-6465",
"fax_number": "320-255-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDELL",
"first_name": "RYAN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116665-5",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4721",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MN",
"license": "116665-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.