Larenda Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

14417 Issued in TX

Legal business name

LARENDA INC

Practice address

156 W 5TH St
Rusk, TX 75785-1218

Phone

(903) 683-5436

Fax

(903) 683-2689

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Larry Madison Mozingo, RPH

Title

President , Pharmacist in Charge

Phone

(903) 683-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescription Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel David Dan, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Longview, TX
  • NPI 1356085062
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1447320734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W 5TH ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851218",
            "telephone_number": "903-683-5436",
            "fax_number": "903-683-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 5TH ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851218",
            "telephone_number": "903-683-5436",
            "fax_number": "903-683-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARENDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "MOZINGO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "PRESIDENT ,  PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "903-683-5436",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "14417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Kavetski, DDS
• Kendra Verhelle MD Community Medical Care PA
• Kelly Ann Kinney
• Donna Kropp, PMHNP-BC
• Sheri Lankford, RNFA
• Tamara Sue Lawson
• Lindsay Lilly
• Linda Goode
• Mattie Louise Locke
• Dana Diane Long, PMHNP-BC

• Pharmacy in Rusk, TX
• Providers in Rusk, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.