Active NPI
Cassaundra Jean Larson, PHARMD
- Pharmacist
- Hayward, CA
National Provider Identifier
1891280103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73914
- Practice address
- 26059 Mission Blvd
Hayward, CA 94544-2538 - Phone
- (510) 886-2201
- NPI assigned
- Jun 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73914 | CA | Primary |
Addresses
Primary practice location
26059 Mission Blvd
Hayward, CA 94544-2538
Mailing address
26059 Mission Blvd
Hayward, CA 94544-2538
Phone (510) 886-2201
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 |
|---|---|---|---|
| 73914 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1891280103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26059 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442538",
"telephone_number": "510-886-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26059 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442538",
"telephone_number": "510-886-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CASSAUNDRA",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.