Active NPI
Lukas Tollefson, PHARMD
- Pharmacist
- Lakeville, MN
National Provider Identifier
1487430781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 126114
- Practice address
- 20250 Heritage Dr
Lakeville, MN 55044-6869 - Phone
- (952) 469-8404
- NPI assigned
- Sep 4, 2023
- Sex
- Male
- 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 | 126114 | MN | Primary |
Addresses
Primary practice location
20250 Heritage Dr
Lakeville, MN 55044-6869
Mailing address
14372 Davenport Ave
Rosemount, MN 55068-3668
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126114 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Lakeville, MN
- NPI 1265628515
-
- Community/Retail Pharmacy
- Burnsville, MN
- NPI 1093517914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1487430781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14372 DAVENPORT AVE",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550683668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20250 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446869",
"telephone_number": "952-469-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEFSON",
"first_name": "LUKAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "126114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.