IndividualActive
Lucas Vandergon
NPI 1710653001 · Pharmacist · Plymouth, MN
Lucas Vandergon is a Pharmacist provider in Plymouth, MN (NPI 1710653001).
Provider details
- NPI number
- 1710653001
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 125352 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3255 Vicksburg Ln N
Plymouth, MN 55447-1317
Phone: (763) 253-8917
Street-level locationGet directions
Mailing address
8822 Shadyview Ln N
Maple Grove, MN 55311-1490
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-08-13
Frequently asked questions
- What is Lucas Vandergon's NPI number?
- Lucas Vandergon's National Provider Identifier (NPI) is 1710653001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lucas Vandergon's specialty?
- Lucas Vandergon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Lucas Vandergon located?
- Lucas Vandergon's practice location on file with NPPES is 3255 Vicksburg Ln N, Plymouth, MN 55447-1317.
- What is Lucas Vandergon's phone number?
- The practice phone number listed in the NPPES registry for Lucas Vandergon is (763) 253-8917.
- Is Lucas Vandergon's NPI active?
- Yes — Lucas Vandergon's NPI (1710653001) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.