Active NPI
Larry E. Patterson, PHARM.D.,MBA,MBA
- Pharmacist
- Spearfish, SD
National Provider Identifier
1245335702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R-3919
- Practice address
- 514 Maple Dr
Spearfish, SD 57783-3220 - Phone
- (605) 717-4011
- NPI assigned
- Sep 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R-3919 | SD | Primary |
Addresses
Primary practice location
514 Maple Dr
Spearfish, SD 57783-3220
Mailing address
514 Maple Dr
Spearfish, SD 57783-3220
Phone (605) 717-4011
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-3919 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245335702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 MAPLE DR",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577833220",
"telephone_number": "605-717-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 MAPLE DR",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577833220",
"telephone_number": "605-717-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LARRY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHARM.D.,MBA,MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "R-3919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.