ANDREA N LARSON (NPI# 1114363868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114363868 |
| Entity Type | Individual |
| Full Name | ANDREA N LARSON |
| Credential | PHARMD, BCACP |
| Practice Address |
1390 University Ave W Saint Paul MN 55104-4001 |
| Practice Telephone | 6512324800 |
| Practice Fax Number | 6513268151 |
| Mailing Telephone | 6512324800 |
| Mailing Fax Number | 6513268151 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 809415 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578829743 | Andrea Lyn Larson | Pharmacist | 889 Venture Dr, Morgantown, WV 26508-7311 | 2012-04-02 |
| 1508828039 | Andrea Dixie Larson | Social Worker | 7575 S 9th E, Midvale, UT 84047-5100 | 2006-04-03 |
| 1861948010 | Andrea Lois Larson | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2016-08-28 |
| 1750746921 | Andrea Larson | Registered Nurse | 420 S 32nd Ave, Yakima, WA 98902-3635 | 2015-12-15 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1871901660 | Andrea Larson | Pharmacist | 17370 Lakeside Hills Plz, Omaha, NE 68130-2352 | 2014-07-24 |
| 1134455009 | Andrea Larson | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025 | 2009-10-27 |
| 1386877462 | Andrea Laura Larson | Pharmacist | 1000 36th St, Vero Beach, FL 32960-4862 | 2009-08-24 |
| 1801001342 | Andrea N Larson | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2007-05-10 |
| 1821158346 | Andrea Larson | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-12-12 |
| Street Address |
1390 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821463 | Rudy G Thell | Internal Medicine | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2006-04-20 |
| 1457810855 | Maureen Stormont Cannon | Audiologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2019-03-15 |
| 1053802835 | Alethea Schaffer | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104 | 2018-05-28 |
| 1780199026 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2017-12-08 |
| 1942743331 | Emily Wahl | Speech-Language Pathologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2016-12-02 |
| 1386028181 | Kristan Lam | Audiologist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2015-07-13 |
| 1053755975 | Elizabeth Childs Cummings | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2013-04-22 |
| 1740534981 | Bridgid Jane Marzen | Physical Therapy Assistant | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-08 |
| 1407100761 | Corinna Harris | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-07 |
| 1972857225 | Barbara Brehmer | Physical Therapist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on ANDREA N LARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.