NPIMap

Organization Active NPI

Gundersen Clinic LTD

Doing business as Gundersen Pharmacy - Tomah Clinic

  • Clinic Pharmacy
  • Tomah, WI
National Provider Identifier
1952967358
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
GUNDERSEN CLINIC LTD
Doing business as
Gundersen Pharmacy - Tomah Clinic
Practice address
505 Gopher Dr Ste a
Tomah, WI 54660-4513
Phone
(608) 782-7300
NPI assigned
May 13, 2019
Last updated
Jul 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNDERSEN CLINIC LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Tina Lechnir
Title
VP Cross-Functional Care
Phone
(608) 775-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

505 Gopher Dr Ste a
Tomah, WI 54660-4513

Mailing address

505 Gopher Dr Ste a
Tomah, WI 54660-4513
Phone (608) 782-7300

Other names 2

  • Gundersen Pharmacy - Tomah Clinic Doing business as
  • GUNDERSEN LUTHERAN TOMAH PHARMACY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170316002152 WI Part B Supplier - Mass Immunization (Roster Biller Only) 9638082779 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Onalaska, WI; Tomah, WI; La Crosse, WI; Holmen, WI
O20190905002118 WI DME Supplier - Pharmacy 9638082779 Practice locations: Tomah, WI

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gundersen Clinic LTD505 Gopher Dr, Tomah, WI 54660-4513(608) 372-4111 Canes and/or Crutches|Orthoses: Off-The-Shelf|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998
Gundersen Clinic LTD505 Gopher Dr, Tomah, WI 54660-4513(608) 567-2811 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Gundersen Lutheran-Toma52 organizations share this tax ID, including this one
Part of
Gundersen Lutheran-Toma

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1952967358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOPHER DR STE A",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOPHER DR STE A",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604513",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC LTD",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "LECHNIR",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "VP CROSS-FUNCTIONAL CARE",
        "authorized_official_telephone_number": "608-775-2600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gundersen Pharmacy - Tomah Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GUNDERSEN LUTHERAN TOMAH PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.