Active NPI
Lisa L Largen, RPH
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1659707974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7901
- Practice address
- 1741 Gold Hill Rd Ste 106
Fort Mill, SC 29708-8204 - Phone
- (803) 547-6100
- Fax
- (803) 547-7720
- NPI assigned
- Sep 18, 2013
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 7901 | SC | Primary |
Addresses
Primary practice location
1741 Gold Hill Rd Ste 106
Fort Mill, SC 29708-8204
Mailing address
1741 Gold Hill Rd Ste 106
Fort Mill, SC 29708-8204
Phone (803) 547-6100
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 |
|---|---|---|---|
| 7901 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Om Sai RX LLC. | Current | Accepting new patients |
Locations
1741 Gold Hill Rd
Ste 106
Fort Mill, SC 29708
Phone (803) 547-6100
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1659707974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 GOLD HILL RD STE 106",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088204",
"telephone_number": "803-547-6100",
"fax_number": "803-547-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 GOLD HILL RD STE 106",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088204",
"telephone_number": "803-547-6100",
"fax_number": "803-547-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGEN",
"first_name": "LISA",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "7901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.