Lucas Robert Vandergon, - Pharmacist in Plymouth, MN

Lucas Robert Vandergon, is a Pharmacist based in Plymouth, Minnesota. Lucas Robert Vandergon is licensed to practice in Minnesota (license number 125352) and his current practice location is 3255 Vicksburg Ln N, Plymouth, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 253-8917.

NPI number for Lucas Robert Vandergon is 1710653001 and his current mailing address is 8822 Shadyview Ln N, Maple Grove, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710653001.

Contact Information

Lucas Robert Vandergon,
3255 Vicksburg Ln N,
Plymouth, MN 55447-1317
(763) 253-8917
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLucas Robert Vandergon
GenderMale
SpecialityPharmacist
Location3255 Vicksburg Ln N, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710653001
  • Provider Enumeration Date: 08/18/2021
  • Last Update Date: 08/18/2021

Medical Identifiers

Medical identifiers for Lucas Robert Vandergon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710653001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 125352 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lucas Robert Vandergon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lucas Robert Vandergon,
8822 Shadyview Ln N,
Maple Grove, MN 55311-1490

Ph: (763) 234-9730
Lucas Robert Vandergon,
3255 Vicksburg Ln N,
Plymouth, MN 55447-1317

Ph: (763) 253-8917

Reviews and Comments


Pharmacist in Plymouth, MN

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Practice Location: 6055 Nathan Ln N, Suite 200a, Plymouth, MN 55442
Phone: 763-463-4400    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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