Jennifer Rae Larson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15980-040 Issued in WI

Practice address

702 Eagle HTS
Apt. C
Madison, WI 53705-1587

Phone

(608) 692-2785

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1477866762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CAHILL MAIN",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117109",
            "telephone_number": "608-661-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 EAGLE HTS",
            "address_2": "APT. C",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051587",
            "telephone_number": "608-692-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15980-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "15890-040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brita J Larson, LCSW
• Elizabeth Ann Larson, APNP
• Ilene Linda Larson, PHYSICAL THERAPIST
• Jeannette Marie Larson, MD
• Jeffrey D. Larson, M.D.
• Jessica Larson
• John Larson, RN
• Juliana Marie Larson, NP
• Kristi Larson, RN
• Matthew Erick Larson

• Pharmacist in Madison, WI
• Providers in Madison, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.