Active NPI
Marcus K Lunde, R.PH.
- Geriatric Pharmacist
- Devils Lake, ND
National Provider Identifier
1639425176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 3714
- Practice address
- 425 College Dr S
Suite 10
Devils Lake, ND 58301-3537 - Phone
- (701) 662-6270
- Fax
- (701) 662-6281
- NPI assigned
- Aug 2, 2012
- Last updated
- Aug 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 3714 | ND | Primary |
Addresses
Primary practice location
425 College Dr S
Suite 10
Devils Lake, ND 58301-3537
Mailing address
425 College Dr S
Suite 10
Devils Lake, ND 58301-3537
Phone (701) 662-6270
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 |
|---|---|---|---|
| 3714 | ND | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1639425176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 COLLEGE DR S",
"address_2": "SUITE 10",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013537",
"telephone_number": "701-662-6270",
"fax_number": "701-662-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 COLLEGE DR S",
"address_2": "SUITE 10",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583013537",
"telephone_number": "701-662-6270",
"fax_number": "701-662-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDE",
"first_name": "MARCUS",
"middle_name": "K",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "ND",
"license": "3714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.