Michelle M Rundquist, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

123765 Issued in MN

Practice address

8441 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1372

Phone

(652) 542-5519

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1851958425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261372",
            "telephone_number": "652-542-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261372",
            "telephone_number": "652-542-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDQUIST",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN PHARMACIST LICENSE NUMBER",
            "identifier": "123765",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrundquist@genoahealthcare.com",
            "affiliation": "N",
            "address_1": "8441 Wayzata Blvd Ste 340",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.