NPIMap

Organization Active NPI

Gundersen Clinic, LTD.

Doing business as Gundersen Pharmacy

  • Clinic Pharmacy
  • La Crosse, WI
National Provider Identifier
1164433660
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
263512 Issued in MN
Legal business name
GUNDERSEN CLINIC, LTD.
Doing business as
Gundersen Pharmacy
Practice address
724 Denton St
La Crosse, WI 54601-5447
Phone
(608) 775-1000
Fax
(608) 775-1010
NPI assigned
Aug 10, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNDERSEN CLINIC LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Tina Lechnir
Title
VP Cross Function Care
Phone
(608) 775-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8317042 WI
Clinic Pharmacy 3336C0002X 263512 MN Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

724 Denton St
La Crosse, WI 54601-5447

Mailing address

724 Denton St
La Crosse, WI 54601-5447
Phone (608) 775-1000

Other identifiers 2

IdentifierTypeStateIssuer
2110059OtherPK
33270300MedicaidWI

Other names 2

  • GUNDERSEN PHARMACY Doing business as
  • GUNDERSEN PHARMACY - EAST BUILDING Other name

National Provider Directory

National Provider Directory
Tax ID family
Gundersen Lutheran-Toma52 organizations share this tax ID, including this one
Part of
Gundersen Lutheran-Toma

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1164433660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 DENTON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015447",
            "telephone_number": "608-775-1000",
            "fax_number": "608-775-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 DENTON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015447",
            "telephone_number": "608-775-1000",
            "fax_number": "608-775-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC LTD",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "LECHNIR",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "VP CROSS FUNCTION CARE",
        "authorized_official_telephone_number": "608-775-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8317042",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MN",
            "license": "263512",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33270300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUNDERSEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GUNDERSEN PHARMACY - EAST BUILDING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.