Larcam Pharmacy LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

630 Issued in IA

Legal business name

LARCAM PHARMACY LTD.

Doing business as

Larry's Pharmacy

Practice address

1310 10TH Ave N
Box 384
Humboldt, IA 50548-1112

Phone

(515) 332-1627

Fax

(515) 332-4324

NPI assigned

Jul 25, 2006

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carleen Ann Milewski

Title

Owner

Phone

(515) 332-1627

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Larry's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Larcam Pharmacy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Larcam Pharmacy LTD.

  • Long Term Care Pharmacy
  • Humboldt, IA
  • NPI 1558182592
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Charon, PHARMD

  • Pharmacist
  • Humboldt, IA
  • NPI 1154966901
  NPD
• Lindy Flatau, PHARMD, RPH

  • Pharmacist
  • Humboldt, IA
  • NPI 1669095972
  NPD (past)
• Rachel Kerns, PHARMD, MBA

  • Pharmacist
  • Humboldt, IA
  • NPI 1619028859
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1700808789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 10TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481112",
            "telephone_number": "515-332-1627",
            "fax_number": "515-332-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 10TH AVE N",
            "address_2": "BOX 384",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481112",
            "telephone_number": "515-332-1627",
            "fax_number": "515-332-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCAM PHARMACY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "MILEWSKI",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-332-1627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "630",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1611640",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160036",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Larry's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirk C Whittlesey
• Kari Lauren Kramer
• Emily Jean Lane, MS
• Jessica M Lantz
• Larcam Pharmacy LTD.
• Abby Larson, CCC-SLP
• Bryan Kent Larson, O.D.
• Nicole Richelle Lee, ARNP, FNP, PMHNP-BC
• Long Term Medical Supply Corporation
• Morgan Lyons, ARNP

• Community/Retail Pharmacy in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.