Active NPI
Ranel Ashley Larsen, PHARM D
- Pharmacist
- Shingle Springs, CA
National Provider Identifier
1811643448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58873
- Practice address
- 4193 Vega Loop
Shingle Springs, CA 95682-5021 - Phone
- (916) 799-5674
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9538 | ID | |
| Pharmacist | 183500000X | 58873 | CA | Primary |
Addresses
Primary practice location
4193 Vega Loop
Shingle Springs, CA 95682-5021
Mailing address
4193 Vega Loop
Shingle Springs, CA 95682-5021
Phone (916) 799-5674
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58873 | CA | MD | Endodontist |
| 9538 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1811643448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4193 VEGA LOOP",
"city": "SHINGLE SPRINGS",
"state": "CA",
"postal_code": "956825021",
"telephone_number": "916-799-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4193 VEGA LOOP",
"city": "SHINGLE SPRINGS",
"state": "CA",
"postal_code": "956825021",
"telephone_number": "916-799-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "RANEL",
"middle_name": "ASHLEY",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "9538",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shingle Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.