Active NPI
Larron Stanley Dolence, RPH
- Pharmacist
- Taos, NM
National Provider Identifier
1427076470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15832
- Practice address
- 1090 Goat Springs Road
Taos, NM 87571-1946 - Phone
- (575) 758-6990
- Fax
- (575) 751-5210
- NPI assigned
- Jul 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3142 | WY | |
| Pharmacist | 183500000X | 15832 | CO | Primary |
Addresses
Primary practice location
1090 Goat Springs Road
Taos, NM 87571-1946
Mailing address
101 N Fork Rd
Lander, WY 82520-9126
Phone (307) 335-4120
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 |
|---|---|---|---|
| 15832 | CO | MD | Pharmacist |
| 3142 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1427076470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N FORK RD",
"city": "LANDER",
"state": "WY",
"postal_code": "825209126",
"telephone_number": "307-335-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 GOAT SPRINGS ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "875711946",
"telephone_number": "575-758-6990",
"fax_number": "575-751-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLENCE",
"first_name": "LARRON",
"middle_name": "STANLEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3142",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.