Organization Active NPI

Gundersen Clinic LTD

Doing business as Gundersen Pharmacy

  • Pharmacy
  • Prairie Du Chien, WI
National Provider Identifier
1417367277
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
9258-42 Issued in WI
Legal business name
GUNDERSEN CLINIC LTD
Doing business as
Gundersen Pharmacy
Practice address
610 E Taylor St
Prairie Du Chien, WI 53821-2109
Phone
(608) 326-8911
Fax
(608) 326-3324
NPI assigned
May 2, 2014
Last updated
Jul 4, 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 4, 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-Functional Care
Phone
(608) 775-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9258-42 WI Primary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

610 E Taylor St
Prairie Du Chien, WI 53821-2109

Mailing address

610 E Taylor St
Prairie Du Chien, WI 53821-2109
Phone (608) 326-8911

Other names 2

  • Gundersen Pharmacy Doing business as
  • Gundersen Pharmacy - Prairie du Chien Other name

National Provider Directory

National Provider Directory
Tax ID family
Gunderson Decorah Podiatry53 organizations share this tax ID, including this one
Part of
Gunderson Decorah Podiatry

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1417367277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E TAYLOR ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212109",
            "telephone_number": "608-326-8911",
            "fax_number": "608-326-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E TAYLOR ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212109",
            "telephone_number": "608-326-8911",
            "fax_number": "608-326-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC LTD",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "LECHNIR",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "VP CROSS-FUNCTIONAL CARE",
        "authorized_official_telephone_number": "608-775-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9258-42",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gundersen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gundersen Pharmacy - Prairie du Chien",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.