JENNIFER LARSON


Address: 2707 Gallop Dr, Santa Rosa, CA 95407-4541
Phone: 4157348321

JENNIFER LARSON (NPI# 1972975019) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA BOARD OF PHARMACY CALIFORNIA RPH43955 01

Other Providers JENNIFER LARSON

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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

Office Location

Street Address 2707 GALLOP DR
City SANTA ROSA
State CA
Zip Code 95407-4541

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SANTA ROSA
Zip Code 95407

Improve Information

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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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