Active NPI
Craig Arthur Larsen II, PHARMD
- Pharmacist
- Davie, FL
National Provider Identifier
1194192534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54000
- Practice address
- 5997 Stirling Rd
Davie, FL 33314-7225 - Phone
- (954) 581-4393
- NPI assigned
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54000 | FL | Primary |
Addresses
Primary practice location
5997 Stirling Rd
Davie, FL 33314-7225
Mailing address
130 White Birch Dr
Kissimmee, FL 34743-8618
Phone (407) 301-7901
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 |
|---|---|---|---|
| PS54000 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1194192534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WHITE BIRCH DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438618",
"telephone_number": "407-301-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5997 STIRLING RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147225",
"telephone_number": "954-581-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "CRAIG",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.