Mallory Larsson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0017043 Issued in OR

Practice address

145 S Highway 101
Warrenton, OR 97146-9314

Phone

(503) 861-1611

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05343

  • Community/Retail Pharmacy
  • Warrenton, OR
  • NPI 1588773873
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1710234596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36278 BARTOLDUS LOOP",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971038558",
            "telephone_number": "720-629-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S HIGHWAY 101",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469314",
            "telephone_number": "503-861-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "MO",
            "postal_code": "655488590",
            "country_code": "US",
            "telephone_number": "417-934-2023",
            "fax_number": "417-934-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSSON",
        "first_name": "MALLORY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juli Judene Knapp, BS, QMHA
• Melissa Knuppel
• Kurita Eye Care Inc
• Scott Robert Kurita, O.D.
• Yolanda Lara
• Christine June Lawler
• Nicole Lemon, PHARMD, RPH
• Hilary Ann Levine
• Brett Russell Lewis
• Breanne Symonds Libertad

• Pharmacist in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.