Larco Medical Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

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

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Randy Chaffin

Title

President/Ceo

Phone

(931) 528-7573

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Larco Pharmacy Doing business as

Tax ID family

Larco Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Larco Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Cookeville, TN
  • NPI 1346236239
  NPD tax ID

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1942652045",
    "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": "2016-07-13",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "931-528-7573"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larco Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Laurie Shockley Dba Elite Assisting Services

• Long Term Care Pharmacy in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Long Term Care 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.