Individual provider Active NPI

Karley J Lantz, PHARMD

  • Pharmacist
  • Trenton, ND
National Provider Identifier
1942975974
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH6340 Issued in ND
Practice address
331 4TH Ave E
Trenton, ND 58853-9998
Phone
(701) 572-6201
NPI assigned
Aug 11, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH6340 ND Primary

Addresses

Primary practice location

331 4TH Ave E
Trenton, ND 58853-9998

Mailing address

244 N Main St
Watford City, ND 58854-7122

Other practice location 1

244 N Main St
Watford City, ND 58854-7122
Phone (701) 444-2410

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

LicenseStateTypeSpecialty
RPH6340NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Larsen Service Drug, Inc. PastSince Aug 1, 2021 Accepting new patients
Larsen Service Drug Inc PastSince Aug 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1942975974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N MAIN ST",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 4TH AVE E",
            "city": "TRENTON",
            "state": "ND",
            "postal_code": "588539998",
            "telephone_number": "701-572-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 N Main St",
            "address_purpose": "LOCATION",
            "city": "Watford City",
            "state": "ND",
            "postal_code": "588547122",
            "country_code": "US",
            "telephone_number": "701-444-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "KARLEY",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.