Larson Phcy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2607595 Issued in MN

Legal business name

LARSON PHCY INC

Doing business as

KINSMOR DRUG INC

Practice address

6544 Penn Ave S
Richfield, MN 55423-1143

Phone

(612) 866-8405

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mark Larson

Title

Pres

Phone

(612) 866-8405

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KINSMOR DRUG INC Doing business as

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1952520264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 PENN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 PENN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231143",
            "telephone_number": "612-866-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "612-866-8405"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2607595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2407698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2407698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINSMOR DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Langseth, LMFT
• Jada Marie Lara-Madrigal
• Sara Xochitl Lara, APRN, CNP
• Emily Larenzie, OTD, OTR/L
• James P Laroy, MD
• Ashli Larson
• Benjamin David Larson, DDS
• Brent James Larson, DPM
• Julie Larson
• Ngoc-Thanh T Le, APRN, FNP-C

• Community/Retail Pharmacy in Richfield, MN
• Providers in Richfield, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.