JENNIFER LARSON


Address: 4570 E Cactus Rd, Phoenix, AZ 85032-7702
Phone: 4803087053

JENNIFER LARSON (NPI# 1578955753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578955753
Entity Type Individual
Full Name JENNIFER LARSON
Practice Address 4570 E Cactus Rd
Phoenix
AZ 85032-7702
Practice Telephone 4803087053
Enumeration Date 2015-02-25
Last Update Date 2015-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 13399 AZ Pharmacy Service Providers

Other Providers JENNIFER LARSON

NPI Name Taxonomy Address Enumeration
1912512856 Jennifer Larson Nurse Practitioner 8325 Barrens Rd, Roanoke, VA 24019-6701 2020-09-08
1427572189 Jennifer S Larson Social Worker 4703 Nw 53rd Ave Ste B2, Gainesville, FL 32653-3403 2017-08-03
1972975019 Jennifer Larson Pharmacist 2707 Gallop Dr, Santa Rosa, CA 95407-4541 2015-10-28
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1952610412 Jennifer L Larson Physical Therapist 1309 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-9112 2010-10-01
1477866762 Jennifer Rae Larson Pharmacist 702 Eagle Hts, Apt. C, Madison, WI 53705-1587 2010-07-15
1508041807 Jennifer Larson Counselor 25 E Washington St Ste 1406, Chicago, IL 60602-1820 2008-01-04
1902005903 Jennifer Anne Larson Dentist 1110 Se 8th St Bldg 200, Ocala, FL 34471-4045 2007-07-11
1629156500 Jennifer Sue Larson Dentist 216 N Lake St, Boyne City, MI 49712-1210 2006-11-01
1487665584 Jennifer Rebekah Larson Clinical Neuropsychologist 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 2006-08-11

Office Location

Street Address 4570 E CACTUS RD
City PHOENIX
State AZ
Zip Code 85032-7702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629200456 Costco Wholesale Corporation Pharmacy 4570 E Cactus Rd, Phoenix, AZ 85032 2009-08-12
1275000168 Nimo Ahmed Yousuf Optometrist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2018-10-29
1639688328 Jarred Perkins Optometrist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2017-09-25
1730561093 Amy Vinu Bhojwani Optometrist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2015-06-23
1366835993 Costco Wholesale Corporation Hearing Aid Equipment 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2015-03-06
1386034437 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2015-01-28
1720489388 John Radosevich Pharmacist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2014-09-12
1831435312 Lori Drea Pharmacist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2013-01-02
1235498965 Nicole Lane Pharmacist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2012-05-15
1336470053 Vincent Lee Pharmacist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2010-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
1326688573 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 2020-01-15
1740836642 Integrated Medical Services Inc Internal Medicine 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386243848 Stephen Praissman Pharmacist 3101 E Claremont Ave, Phoenix, AZ 85016-2361 2020-10-25
1356949929 Teresa Louise Cox Pharmacist 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 2020-10-15
1760097703 Cindy Ryanto Pharmacist 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 2020-09-15
1689288037 Akeel Daher Pharmacist 28635 N N Vly Pkwy, Phoenix, AZ 85085-5434 2020-09-03
1295346401 Ann Michelle Mason Pharmacist 1511 E Renee Dr, Phoenix, AZ 85024-2973 2020-08-11
1053921767 Vera Benson Pharmacist 1219 E Villa Maria Dr, Phoenix, AZ 85022-1222 2020-08-06
1154947133 Justin Gerard Spicer Pharmacist 1 E Lexington Ave, Phoenix, AZ 85012-2433 2020-06-24
1518582501 Davita D Lewis Pharmacist 2532 W Peoria Ave, Phoenix, AZ 85029-4709 2020-06-15
1518582683 Thomas Komlos Pharmacist 18224 N Clemmer Ln, Phoenix, AZ 85022-1306 2020-06-14
1063037554 Chezka Mae Largosa Baker Pharmacist 800 N Central Ave Apt 1218, Phoenix, AZ 85004-2777 2020-06-10
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Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

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.

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