Active NPI
Larken Jorgensen, PHARMD
- Pharmacist
- Sheboygan, WI
National Provider Identifier
1104239177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22124-40
- Practice address
- 1108 N 14TH St
Sheboygan, WI 53081-3213 - Phone
- (920) 452-0079
- Fax
- (920) 328-0323
- NPI assigned
- Jun 8, 2014
- Last updated
- Mar 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19717 | MD | MD | Clinical Social Worker |
| 120754 | MN | MD | Pharmacist |
| 22124-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.