NPIMap

Individual provider Active NPI

Lauren Sundsboe

  • Pharmacist
  • Bellevue, NE
National Provider Identifier
1275800468
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13703 Issued in NE
Practice address
6905 S 36TH St
Bellevue, NE 68147-1231
Phone
(402) 734-7592
Fax
(402) 734-5784
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13703 NE Primary

Addresses

Primary practice location

6905 S 36TH St
Bellevue, NE 68147-1231

Mailing address

6905 S 36TH St
Bellevue, NE 68147-1231
Phone (402) 734-7592

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

State licenses

LicenseStateTypeSpecialty
13703NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jun 6, 2021 Accepting new patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients
Walgreen Co PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1275800468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 S 36TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471231",
            "telephone_number": "402-734-7592",
            "fax_number": "402-734-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 S 36TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471231",
            "telephone_number": "402-734-7592",
            "fax_number": "402-734-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDSBOE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.