Lund Food Holdings Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262987 Issued in MN

Legal business name

LUND FOOD HOLDINGS INC

Doing business as

Lunds & Byerlys Pharmacy #15014

Practice address

12880 Elm Creek Blvd N
Maple Grove, MN 55369-7052

Phone

(763) 420-3005

Fax

(763) 420-8624

NPI assigned

Oct 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jodi Robinson, CPHT

Title

Sr. Manager, Pharmacy Ops

Phone

(952) 915-3736

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lunds & Byerlys Pharmacy #15014 Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Marie Bauer, PHARM.D.

  • Pharmacist
  • Maple Grove, MN
  • NPI 1316046097
  NPD (past)
• Vernon D Krueger, RPH

  • Pharmacist
  • Maple Grove, MN
  • NPI 1972556983
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1841375771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 W 50TH ST",
            "address_2": "SUITE B-102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241210",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 ELM CREEK BLVD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697052",
            "telephone_number": "763-420-3005",
            "fax_number": "763-420-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUND FOOD HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SR. MANAGER, PHARMACY OPS",
        "authorized_official_telephone_number": "952-915-3736",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731407000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lunds & Byerlys Pharmacy #15014",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Louis Lovcik, O.D.
• Nicole T Lowe, M.D.
• Vicki Sue Luehmann, O.D.
• Renee Luehrs-Henson, RN
• Crystal Fialova Lumi, MD
• Megan Kerstin Lundeen
• Michelle Julia Lundgren, CNP
• Michelle Lutz
• Elena Luu
• Luxottica of America Inc (Target Optical #C4429)

• Community/Retail Pharmacy in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.