Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215341219 Individual Practitioner Female Practitioner

Amanda Gustafson

Pharmacist • Apple Valley, MN

Professional Overview & Biography Verified Profile Summary

Amanda Gustafson is a registered healthcare professional specializing in Pharmacist in Apple Valley, MN. Practice services are available at 15250 CEDAR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15250 Cedar Ave

Apple Valley, MN 551247017

Telephone 9524325557
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1942215264

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Apple Valley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Apple Valley, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 121968

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License SD 6169

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1043596943

Doctor of Pharmacy (Pharm.D.)

NPI 1063798486

Doctor of Pharmacy (Pharm.D.)

Jason Carrollo

Pharmacist

NPI 1215204318
NPI 1255943833
NPI 1265717441

Doctor of Pharmacy (Pharm.D.)

NPI 1356624472

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 11, 2021

Registered at 15250 CEDAR AVE, APPLE VALLEY, MN 551247017 (Tel: 9524325557)

📍
Updated Business Mailing Address June 11, 2021

Registered at 15250 CEDAR AVE, APPLE VALLEY, MN 551247017 (Tel: 9524325557)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 945 HIGHWAY 15 S, HUTCHINSON, MN 553503117 (Tel: 3202349499)

📍
Updated Business Mailing Address June 17, 2014

Registered at 945 HIGHWAY 15 S, HUTCHINSON, MN 553503117

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as AMANDA GUSTAFSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Pharmacist (License #6169 in SD)

🟢
Initial NPI Registration & Enumeration June 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215341219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: June 11, 2021
Sole Proprietor: No

Mailing Address

15250 Cedar Ave

Apple Valley, MN 551247017

Phone: 9524325557

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.