Andrea Lyn Larson, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0007256 Issued in WV

Practice address

889 Venture Dr
Morgantown, WV 26508-7311

Phone

(304) 292-2787

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1578829743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HANALEI DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084263",
            "telephone_number": "304-241-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 VENTURE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087311",
            "telephone_number": "304-292-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007256",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell Larew, PA-C
• Madeline L Larew
• Erica Larijani
• Emily Blair Larkin, MD
• Kevin T Larkin, PH.D.
• Heidi L Larue, CFNP
• Melissa R Larzo, MD
• Raven Lash
• Tiana Jacquelin Lasporgara, MSW, LGSW
• Allison Marie Lastinger, M.D.

• Pharmacist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.