Deb Gustafson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302024218 Issued in MI

Practice address

961 Spring St
Muskegon, MI 49442-3278

Phone

(231) 722-2861

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benson Drug Company Inc.

  dba Benson Drug Company Inc.-Sav-Mor #17

  • Community/Retail Pharmacy
  • Muskegon, MI
  • NPI 1821106287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093803041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 WALDEN DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561172",
            "telephone_number": "616-842-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SPRING ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423278",
            "telephone_number": "231-722-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "DEB",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "5302024218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Gundersen, OD
• Kathryn Renee Gunderson
• Sarah E Gunther, DO
• Gary G Gurden, MD
• Jennifer Louise Gustafson-Stephenson, LCSW
• Keiarra Guy, FNP
• Adam Russell Gwizdala, DO, PHARM.D.
• Ryan Gzym, PA-C
• Sally Ruth Haadsma
• Jennifer Haak

• Pharmacist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.