Active NPI
Rattiporn Larson
- Pharmacist
- Terrell, TX
National Provider Identifier
1437317872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH55930
- Practice address
- 1870 W Moore Ave
Terrell, TX 75160-2309 - Phone
- (972) 563-7636
- NPI assigned
- May 31, 2008
- Last updated
- Nov 30, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH55930 | CA | Primary |
Addresses
Primary practice location
1870 W Moore Ave
Terrell, TX 75160-2309
Mailing address
1870 W Moore Ave
Terrell, TX 75160-2309
Phone (972) 563-7636
Other practice location 1
15890 Soquel Canyon Pkwy
Chino Hills, CA 91709-7927
Phone (909) 597-3950
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH55930 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06492
- Community/Retail Pharmacy
- Chino Hills, CA
- NPI 1023141165
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1437317872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 W MOORE AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602309",
"telephone_number": "972-563-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 W MOORE AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602309",
"telephone_number": "972-563-7636"
}
],
"practiceLocations": [
{
"address_1": "15890 Soquel Canyon Pkwy",
"address_purpose": "LOCATION",
"city": "Chino Hills",
"state": "CA",
"postal_code": "917097927",
"country_code": "US",
"telephone_number": "909-597-3950",
"fax_number": "909-393-7348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "RATTIPORN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH55930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrell, TX
- Lakes Regional MHMR Center (Lakes Regional Community Center)
- Lakes Regional MHMR Center (Lakes Regional Community Center)
- Christopher Lam
- Susana Fehr Lampley, MD
- Larry Tarrant O.D.
- Larry P. Lawson, PT, DPT
- Cherish Leanne Lennon, MS, CCC-SLP
- Ashley N Lewis, LPC
- Life Open Heart,Open Home
- Haley Lightsey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.