Jeffrey Daniel Lundgren Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051034344 Issued in IL

Practice address

384 E Irving Park Rd
Roselle, IL 60172-2007

Phone

(630) 529-3400

Fax

(630) 529-3429

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Snyder-Mark Roselle Drugs Inc

  • Community/Retail Pharmacy
  • Roselle, IL
  • NPI 1316036965
  NPD (past)
• Snyder-Mark Roselle Drugs Inc

  • Durable Medical Equipment & Medical Supplies
  • Roselle, IL
  • NPI 1477698843
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1295852770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26739 N MAIN ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843418",
            "telephone_number": "847-526-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722007",
            "telephone_number": "630-529-3400",
            "fax_number": "630-529-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051034344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Lehoux, DC
• Rosina Elizabeth Hackl Leiner, M.S., CCC-SLP
• Wen S Li, D.C.
• Little Tikes Therapy, Inc
• Brainard G Llanes, D.D.S.
• Jane Madaj, IBCLC,RLC
• Kelsey Madaj, LMFT
• Jordan Marie Maisto, OTR/L
• Elizabeth A Malouf, MT-BC, QSP
• Lauren Renee Manzara, APN-CNP

• Pharmacist in Roselle, IL
• Providers in Roselle, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.