Active NPI
Sarah Mae Larson, PHARMD
- Pharmacist
- Fargo, ND
National Provider Identifier
1396934337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH4828
- Practice address
- 737 Broadway N
Fargo, ND 58102-4421 - Phone
- (701) 234-6503
- Fax
- (701) 234-2405
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66070 | FL | |
| Pharmacist | 183500000X | 117257 | MN | |
| Pharmacist | 183500000X | RPH4828 | ND | Primary |
Addresses
Primary practice location
737 Broadway N
Fargo, ND 58102-4421
Mailing address
970 Highway 32 S
Hawley, MN 56549-9163
Phone (701) 306-4746
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 |
|---|---|---|---|
| PS66070 | FL | MD | Pharmacist |
| 117257 | MN | MD | Pharmacist |
| RPH4828 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1396934337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 HIGHWAY 32 S",
"city": "HAWLEY",
"state": "MN",
"postal_code": "565499163",
"telephone_number": "701-306-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024421",
"telephone_number": "701-234-6503",
"fax_number": "701-234-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "SARAH",
"middle_name": "MAE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66070",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117257",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH4828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.