IndividualActive
Amanda Gustafson
NPI 1215341219 · Pharmacist · Apple Valley, MN
Provider details
- NPI number
- 1215341219
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6169 (SD)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15250 Cedar Ave
Apple Valley, MN 55124-7017
Phone: (952) 432-5557
Street-level locationGet directions
Mailing address
15250 Cedar Ave
Apple Valley, MN 55124-7017
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2021-06-11
- Certified
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.