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Lucas Robert Vandergon

Pharmacist in Plymouth, MN · enumerated 2021 · practices at Walgreen Co.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710653001

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Registry record

Entity type Individual (Type 1)
Name Lucas Robert Vandergon
Sex Male
Practice address 3255 Vicksburg Ln N, Plymouth, MN, 55447
Phone (763) 253-8917
Enumeration date Aug 18, 2021
Last updated in NPPES Aug 18, 2021

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 125352 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1710653001 active?
Yes, as of the latest NPPES snapshot, NPI 1710653001 is active (record last updated 2021-08-18).
How do I verify Lucas Vandergon's NPI record?
Cross-check NPI 1710653001 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-18.