Lisa Leigh Struss

Primary specialty

PharmacistTaxonomy code 183500000X

License

115457 Issued in MN

Practice address

200 Barclay Ave
Pine River, MN 56474-5174

Phone

(218) 587-2500

Fax

(218) 270-5131

NPI assigned

Jul 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• ZKR Investments,LTD

  • Community/Retail Pharmacy
  • Pine River, MN
  • NPI 1629696349
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1346868064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 17TH AVE NW",
            "city": "HACKENSACK",
            "state": "MN",
            "postal_code": "564522666",
            "telephone_number": "218-682-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BARCLAY AVE",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564745174",
            "telephone_number": "218-587-2500",
            "fax_number": "218-270-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUSS",
        "first_name": "LISA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalia Richards, CLC
• Anton Sauer, DDS
• Tucker A Sheley, APRN,CNP
• Breanna Shellum, M.A., LMFT
• St. Joseph'S Medical Center
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• Walker Ridge Psychological Services Inc.
• ZKR Investments,LTD

• Pharmacist in Pine River, MN
• Providers in Pine River, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.