Christi Larson

Primary specialty

PharmacistTaxonomy code 183500000X

License

S013434 Issued in AZ

Practice address

6788 S Kings Ranch Rd, Suite 1
Gold Canyon, AZ 85118

Phone

(888) 600-2705

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Empowered Medicine

  • Pharmacist
  • Gold Canyon, AZ
  • NPI 1003466863
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1255989190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S. SUPERSTITION MOUNTAIN DR. SUITE 104, #155",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85118",
            "telephone_number": "888-600-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6788 S KINGS RANCH RD, SUITE 1",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85118",
            "telephone_number": "888-600-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@empoweredmedicine.com",
            "affiliation": "N",
            "address_1": "5301 S. Superstition Mountain Dr. Suite 104, #155",
            "city": "Gold Canyon",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kings Ranch Dental Care, PLLC
• Bobbi D Lancaster, MD
• Lucille Marie Lancaster, NP
• Charles William Lang, RPH
• Nicole Alexandria Laramie
• Christie Lathrop
• Kierstin Lealiiee
• Gabriela Lynn Lien
• Linda Carol Newell MD (Newell Clinic)
• Sidnee Paige Lofgreen

• Pharmacist in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.