Active NPI
Lisa Danielle Ellefson, RPH
- Pharmacist
- Hutchinson, MN
National Provider Identifier
1407316771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116078
- Practice address
- 237 Hassan St SE
Hutchinson, MN 55350-2524 - Phone
- (320) 587-2509
- Fax
- (320) 587-0283
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 116078 | MN | Primary |
Addresses
Primary practice location
237 Hassan St SE
Hutchinson, MN 55350-2524
Mailing address
237 Hassan St SE
Hutchinson, MN 55350-2524
Phone (320) 587-2509
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116078 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1407316771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 HASSAN ST SE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553502524",
"telephone_number": "320-587-2509",
"fax_number": "320-587-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 HASSAN ST SE",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553502524",
"telephone_number": "320-587-2509",
"fax_number": "320-587-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEFSON",
"first_name": "LISA",
"middle_name": "DANIELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.