Organization Active NPI

Larcorp Inc

Doing business as Cedar Hill Prescription Shoppe

  • Community/Retail Pharmacy
  • Cedar Hill, MO
National Provider Identifier
1073616587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004873 Issued in MO
Legal business name
LARCORP INC
Doing business as
Cedar Hill Prescription Shoppe
Practice address
7042 State Rd BB
Cedar Hill, MO 63016
Phone
(636) 285-1900
Fax
(636) 285-4401
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. August W Larson Jr., RPH
Title
President
Phone
(636) 285-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 004873 MO Primary

Addresses

Primary practice location

7042 State Rd BB
Cedar Hill, MO 63016

Mailing address

PO Box 419
Cedar Hill, MO 63016-0419
Phone (636) 285-1900

Other names 1

  • CEDAR HILL PRESCRIPTION SHOPPE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Hill Prescription Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7042 State Road BB
Cedar Hill, MO 63016
Phone (636) 274-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073616587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630160419",
            "telephone_number": "636-285-1900",
            "fax_number": "636-285-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7042 STATE RD BB",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "63016",
            "telephone_number": "636-285-1900",
            "fax_number": "636-285-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-285-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDAR HILL PRESCRIPTION SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.