Organization Active NPI

Larsons Prescription Pharmacy Inc

Doing business as Larsons Prescription Phcy

  • Community/Retail Pharmacy
  • Knox City, TX
National Provider Identifier
1265439707
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03847 Issued in TX
Legal business name
LARSONS PRESCRIPTION PHARMACY INC
Doing business as
Larsons Prescription Phcy
Practice address
502 S Avenue F
Knox City, TX 79529-2110
Phone
(940) 657-3210
Fax
(940) 657-3820
NPI assigned
Jun 30, 2005
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Larry Staggs
Title
Owner/Pharmacist
Phone
(940) 657-3210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 03847 TX Primary

Addresses

Primary practice location

502 S Avenue F
Knox City, TX 79529-2110

Mailing address

502 S Avenue F
Knox City, TX 79529-2110
Phone (940) 657-3210

Other identifiers 2

IdentifierTypeStateIssuer
4545781OtherNCPDP PROVIDER IDENTIFICATION NUMBER
141245MedicaidTX

Other names 1

  • LARSONS PRESCRIPTION PHCY Doing business as

National Provider Directory

National Provider Directory

Locations

502 S Avenue F
Knox City, TX 79529
Phone (940) 657-3210

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1265439707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S AVENUE F",
            "city": "KNOX CITY",
            "state": "TX",
            "postal_code": "795292110",
            "telephone_number": "940-657-3210",
            "fax_number": "940-657-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S AVENUE F",
            "city": "KNOX CITY",
            "state": "TX",
            "postal_code": "795292110",
            "telephone_number": "940-657-3210",
            "fax_number": "940-657-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSONS PRESCRIPTION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "STAGGS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "940-657-3210"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "03847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4545781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141245",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARSONS PRESCRIPTION PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knox City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.