NPIMap

Organization Active NPI

Gundersen Clinic LTD

  • Community/Retail Pharmacy
  • Onalaska, WI
National Provider Identifier
1497220693
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GUNDERSEN CLINIC LTD
Practice address
111 Sand Lake Rd
Onalaska, WI 54650-2760
Phone
(608) 775-8595
NPI assigned
Oct 4, 2018
Organization subpart
Yes
Parent organization
GUNDERSEN CLINIC LTDAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Tina Lechnir
Title
VP Cross-Functional Care
Phone
(608) 775-2600

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gundersen Pharmacy111 Sand Lake Rd, Onalaska, WI 54650-2760(608) 775-8582 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20170316002152 WI Part B Supplier - Mass Immunization (Roster Biller Only) 9638082779 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Onalaska, WI; Tomah, WI; La Crosse, WI; Holmen, WI
O20190207001891 WI DME Supplier - Pharmacy 9638082779 Practice locations: Onalaska, WI

National Provider Directory

National Provider Directory
Tax ID family
La Liberte-Gundersen VI (52 organizations share this tax ID)
Part of
La Liberte-Gundersen VI

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

111 Sand Lake Rd
Onalaska, WI 54650-2760

Mailing address

111 Sand Lake Rd
Onalaska, WI 54650-2760
Phone (608) 775-8582

Other names 2

NPPES NPI Registry
  • GUNDERSEN PHARMACY Doing business as
  • GUNDERSEN PHARMACY - SAND LAKE ROAD Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 4, 2025.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1497220693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502760",
            "telephone_number": "608-775-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502760",
            "telephone_number": "608-775-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC LTD",
        "enumeration_date": "2018-10-04",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUNDERSEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GUNDERSEN PHARMACY - SAND LAKE ROAD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GUNDERSEN PHARMACY - SAND LAKE ROAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Onalaska, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.