DR. MANDY LYNN GAGNON (NPI# 1922416635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922416635 |
| Entity Type | Individual |
| Full Name | DR. MANDY LYNN GAGNON |
| Credential | PHARM.D. |
| Practice Address |
420 E 1st St Box 1s3w10 Duluth MN 55805-1901 |
| Mailing Address |
1904 N 51st Ave E Duluth MN 55804-1249 |
| Practice Telephone | 2187862150 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121816 | MN | Pharmacy Service Providers |
| Street Address |
420 E 1ST ST BOX 1S3W10 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982528 | Angelique Thibault | Registered Nurse | 420 E 1st St, Duluth, MN 55805-1901 | 2020-08-13 |
| 1972121168 | Brianna P Ferrell | Pharmacist | 420 E 1st St, Pharmacy, Duluth, MN 55805-1951 | 2020-07-14 |
| 1912525536 | Taylor Ann Grupa | Pharmacist | 420 E 1st St, Attn: Pharmacy, Duluth, MN 55805-1951 | 2020-07-09 |
| 1225685035 | Mackenzie Margaret Deroche | Physician Assistant | 420 E 1st St, Duluth, MN 55805-1901 | 2019-08-26 |
| 1528610409 | Megan Marie Tapp | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2019-07-11 |
| 1194387357 | Anna Karmae Hanson | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2019-07-08 |
| 1447746615 | Rebekka L Schrecengost | Pharmacist | 420 E 1st St, Duluth, MN 55805 | 2018-07-10 |
| 1215457338 | Kirstin M Gramith | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2017-06-20 |
| 1316399025 | Brittany Raymond | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2016-07-06 |
| 1114389277 | Karin B. Knutson | Obstetrics & Gynecology | 420 E 1st St, Duluth, MN 55805-1901 | 2016-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801364062 | Dongwoo Shin | Pharmacist | 3607 Gainesway Ct, Duluth, GA 30096-1738 | 2018-11-06 |
| 1174091359 | Naeunnansae Lim | Pharmacist | 2370 Main St Nw Apt 5301, Duluth, GA 30097-2876 | 2018-11-06 |
| 1851818579 | Ji A Kim | Pharmacist | 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 | 2017-08-23 |
| 1821442153 | Lyhka5 LLC | Pharmacist | 4470 Satellite Blvd Ste 108, Duluth, GA 30096-8852 | 2016-04-22 |
| 1932517257 | Ja Young Kongkim | Pharmacist | 4195 Pleasant Hill Rd, Suite D, Duluth, GA 30096-6343 | 2014-07-30 |
| 1316362213 | Darshini Jani | Pharmacist | 3463 Palisade Park Ct, Duluth, GA 30096-6698 | 2014-02-28 |
| 1104266345 | Rebecca Wright | Pharmacist | 202 N Central Ave, Duluth, MN 55807-2463 | 2013-07-02 |
| 1538419767 | Kyle Robert Rizzi | Pharmacist | 231 E 14th St, Duluth, MN 55811-3767 | 2012-09-14 |
| 1366701930 | Laura Jean Gauger | Pharmacist | 1321 E 1st St, # 201, Duluth, MN 55805-2453 | 2012-05-16 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.