Individual provider Active NPI

Larken Jorgensen, PHARMD

  • Pharmacist
  • Sheboygan, WI
National Provider Identifier
1104239177
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22124-40 Issued in WI
Practice address
1108 N 14TH St
Sheboygan, WI 53081-3213
Phone
(920) 452-0079
Fax
(920) 328-0323
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19717 MD
Pharmacist 183500000X 22124-40 WI Primary
Pharmacist 183500000X 120754 MN

Addresses

Primary practice location

1108 N 14TH St
Sheboygan, WI 53081-3213

Mailing address

1108 N 14TH St
Sheboygan, WI 53081-3213
Phone (920) 452-0079

Other practice location 1

4085 State Highway 28
Sheboygan Falls, WI 53085-2848
Phone (920) 451-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
120754MNMDPharmacist
22124-40WIMDPharmacist
19717MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin CVS Pharmacy, L.L.C. Past Accepting new patients
Wisconsin CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1104239177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N 14TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813213",
            "telephone_number": "920-452-0079",
            "fax_number": "920-328-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N 14TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813213",
            "telephone_number": "920-452-0079",
            "fax_number": "920-328-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4085 State Highway 28",
            "address_purpose": "LOCATION",
            "city": "Sheboygan Falls",
            "state": "WI",
            "postal_code": "530852848",
            "country_code": "US",
            "telephone_number": "920-451-8448",
            "fax_number": "920-917-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "LARKEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19717",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22124-40",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.