Active NPI
Andrew Lundahl, PHARMD
- Pharmacist
- Mount Pleasant, MI
National Provider Identifier
1801479803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411743
- Practice address
- 926 S Mission St
Mount Pleasant, MI 48858-3548 - Phone
- (989) 773-8200
- Fax
- (989) 773-8282
- NPI assigned
- Apr 28, 2021
- 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 | 5302411743 | MI | Primary |
Addresses
Primary practice location
926 S Mission St
Mount Pleasant, MI 48858-3548
Mailing address
926 S Mission St
Mount Pleasant, MI 48858-3548
Phone (989) 773-8200
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 |
|---|---|---|---|
| 5302411743 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadillac Family Pharmacy LLC | Current | Accepting new patients | |
| Kronner Pharmacy Inc | Current | Accepting new patients | |
| Mission Pharmacy, LLC | Current | Accepting new patients |
Organizations & group practices 3
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
- Cadillac, MI
- NPI 1568562833
-
- Community/Retail Pharmacy
- Prudenville, MI
- NPI 1609976968
-
- Community/Retail Pharmacy
- Mt Pleasant, MI
- NPI 1417055567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1801479803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 S MISSION ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583548",
"telephone_number": "989-773-8200",
"fax_number": "989-773-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 S MISSION ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583548",
"telephone_number": "989-773-8200",
"fax_number": "989-773-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDAHL",
"first_name": "ANDREW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.