Active NPI
Taylor Gustafson
- Pharmacy Technician
- Elk River, MN
National Provider Identifier
1841972478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 740441
- Practice address
- 18267 Carson CT NW
Elk River, MN 55330-2733 - Phone
- (763) 252-1175
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 740441 | MN | Primary |
Addresses
Primary practice location
18267 Carson CT NW
Elk River, MN 55330-2733
Mailing address
2978 Beetle Rd
Princeton, MN 55371-6227
Phone (651) 802-5484
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740441 | MN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
18267 Carson Ct NW
Elk River, MN 55330
Phone (763) 252-1175
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1841972478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 BEETLE RD",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553716227",
"telephone_number": "651-802-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18267 CARSON CT NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302733",
"telephone_number": "763-252-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "740441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
- Kefeng Gu, M.D.
- Guardian Angels Elim Home Care, Inc (Triniti Home Health and Hospice)
- Guardian Angels Elim Home Care, Inc (Triniti Home Health and Hospice)
- Guardian Angels Health Services, Inc. (Guardian Angels Care Center)
- Jacob B Gunderson, DC, ATC
- Brittany Irene Guthridge
- Thomas J Guyn, M.D.
- Marc H Haaland, LPC
- Rebecca Haas
- Karrie Deanne Halbur, MA, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.