Active NPI
Susan Renee Vandenberg, PHARMD
- Pharmacist
- Hills, MN
National Provider Identifier
1891613360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R-5499
- Practice address
- 631 State Highway 270
Hills, MN 56138-4051 - Phone
- (605) 359-6066
- NPI assigned
- Jul 9, 2026
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | R-5499 | SD | Primary |
Addresses
Primary practice location
631 State Highway 270
Hills, MN 56138-4051
Mailing address
631 State Highway 270
Hills, MN 56138-4051
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1891613360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 STATE HIGHWAY 270",
"city": "HILLS",
"state": "MN",
"postal_code": "561384051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 STATE HIGHWAY 270",
"city": "HILLS",
"state": "MN",
"postal_code": "561384051",
"telephone_number": "605-359-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBERG",
"first_name": "SUSAN",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "R-5499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.