Scott David Larsen, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

3087862-1701 Issued in UT

Practice address

200 North Marketplace Drive
Centerville, UT 84025

Phone

(801) 292-1546

Fax

(801) 292-1546

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1104113489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH MARKETPLACE DRIVE",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-292-1546",
            "fax_number": "801-292-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH MARKETPLACE DRIVE",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-292-1546",
            "fax_number": "801-292-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "3087862-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KVD Care (Heart & Home Assisted Living)
• Neeta Lal, MD
• Shannon Elaine Landheim, L.C.S.W.
• Kali Rodgers Lantrip, PH.D.
• Everett Wayne Larsen, M.D.
• Kristina N Larson
• Matthew Rein Larson
• Angela Lauritzen
• Gary A Lawson, D.M.D.
• LDS Family Services (LDS Family Services UT Centerville)

• Pharmacist in Centerville, UT
• Providers in Centerville, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.