JENNIFER LARSON (NPI# 1972975019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972975019 |
Entity Type | Individual |
Full Name | JENNIFER LARSON |
Credential | RPH |
Practice Address |
2707 Gallop Dr Santa Rosa CA 95407-4541 |
Practice Telephone | 4157348321 |
Mailing Telephone | 4157348321 |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH43955 | CA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BOARD OF PHARMACY CALIFORNIA | RPH43955 | 01 |
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 |
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 |
1184675233 | Jennifer Larson | Obstetrics & Gynecology | 3624 Brooks St Ste 101, Missoula, MT 59801-7338 | 2006-05-13 |
Street Address |
2707 GALLOP DR |
City | SANTA ROSA |
State | CA |
Zip Code | 95407-4541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
Find all providers in zip 95407 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316503642 | Leyla Scott | Pharmacist | 2700 Yulupa Ave, Santa Rosa, CA 95405-8577 | 2019-05-13 |
1396222576 | Ali Arianjam | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2018-07-20 |
1043691405 | Patrick Emery O'meara | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2015-06-11 |
1316340532 | Katherine Lee | Pharmacist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2014-10-01 |
1356648265 | Juliann Trout | Pharmacist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2011-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 95407 |
Please comment or provide details below to improve the information on JENNIFER 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.