Timothy George Larsen, R. PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00009929 Issued in WA

Practice address

106 1St St S
Yelm, WA 98597-7700

Phone

(360) 458-8467

NPI assigned

Jul 1, 2005

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tim's Pharmacy & Gift Shop, LTD

  • Long Term Care Pharmacy
  • Yelm, WA
  • NPI 1669066460
  NPD (past)
• Tim's Pharmacy & Gift Shop, LTD

  • Community/Retail Pharmacy
  • Yelm, WA
  • NPI 1760475016

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1881691079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5120",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985975120",
            "telephone_number": "360-458-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 1ST ST S",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977700",
            "telephone_number": "360-458-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "TIMOTHY",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbarann Gabrielle Kuik, LMFTA, PHD-C
• La Vince Group, P.S Dba (Yelm Prairie Dental)
• Laboratory Corporation of America
• Miranda Elaine Lambert, M.S. CCC-SLP
• Benjamin Robert Larsen, PHARM D
• Lavince Group PS (Yelm Prairie Dental)
• Hanna Elizabeth Lawlor
• Holley Lawrence
• Kaitlyn Elizabeth Leingang, MS, CCC-SLP
• Lesh, DMD PLLC (Yelm Prairie Dental)

• Pharmacist in Yelm, WA
• Providers in Yelm, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.