Active NPI
Sandy Paul Larkin, RPH
- Geriatric Pharmacist
- La Center, WA
National Provider Identifier
1285926774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PH 00015020
- Practice address
- 7110 NE Ferris Rd
7110 NE Ferris Rd
La Center, WA 98629-3419 - Phone
- (360) 635-1461
- NPI assigned
- May 3, 2011
- Last updated
- May 3, 2011
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PH 00015020 | WA | Primary |
Addresses
Primary practice location
7110 NE Ferris Rd
7110 NE Ferris Rd
La Center, WA 98629-3419
Mailing address
PO Box 57
7110 NE Ferris Rd
La Center, WA 98629-0057
Phone (360) 635-1461
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH 00015020 | WA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1285926774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"address_2": "7110 NE FERRIS RD",
"city": "LA CENTER",
"state": "WA",
"postal_code": "986290057",
"telephone_number": "360-635-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 NE FERRIS RD",
"address_2": "7110 NE FERRIS RD",
"city": "LA CENTER",
"state": "WA",
"postal_code": "986293419",
"telephone_number": "360-635-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "SANDY",
"middle_name": "PAUL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WA",
"license": "PH 00015020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Center, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.