Larco Medical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3762 Issued in TN

Legal business name

LARCO MEDICAL INC

Practice address

406 N Whitney Ave Ste 1
Cookeville, TN 38501-4243

Phone

(931) 528-7573

Fax

(931) 526-6383

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Randall Chaffin

Title

Pres/Ceo

Phone

(931) 528-7573

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LARCO PHARMACY Doing business as

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1831433945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014243",
            "telephone_number": "931-528-7573",
            "fax_number": "931-526-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 1",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014243",
            "telephone_number": "931-528-7573",
            "fax_number": "931-526-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCO MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "931-528-7573"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3548141",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Langley, MD
• Mae Sedaghati Languri, DMD
• James Lanier Jr., M.D.
• Diana Laquerre
• Larco Medical Inc
• Larco Medical Inc
• Larry H. Burks
• Noman Lateef, MD
• Dana Kilgore Latta, APRN
• Lauretta a Connelly, MD PC

• Community/Retail Pharmacy in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.