MRS. MARY JANELLE LARSEN (NPI# 1063012052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063012052 |
| Entity Type | Individual |
| Full Name | MRS. MARY JANELLE LARSEN |
| Credential | RPH |
| Practice Address |
1516 N 18th St Ozark AR 72949-3611 |
| Practice Telephone | 4796674448 |
| Practice Fax Number | 4796670233 |
| Mailing Telephone | 4796674448 |
| Mailing Fax Number | 4796670233 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD08438 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364027 | Mary Mu Larsen | Acupuncturist | 1015 Hope Street, Ste C, South Pasadena, CA 91030 | 2009-05-21 |
| 1316396344 | Mary Larsen | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2016-06-09 |
| 1669624268 | Mary Hughes Larsen | Physical Therapist | 110 N Laventure Rd, Suite A, Mount Vernon, WA 98273-3901 | 2008-10-15 |
| 1710065016 | Mary V Larsen | Psychologist | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| 1114007275 | Mary Elizabeth Larsen | Chiropractor | 600 E Main St, Anoka, MN 55303-2527 | 2006-10-16 |
| 1912017443 | Mary B Larsen | Counselor | 8324 Skokie Blvd, Turning Point, Skokie, IL 60077-2545 | 2006-08-30 |
| Street Address |
1516 N 18TH ST |
| City | OZARK |
| State | AR |
| Zip Code | 72949-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065715 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1516 N 18th St, Ozark, AR 72949-3611 | 2006-07-16 |
| 1770183295 | Kristen Nichole Johnson | Pharmacist | 1516 N 18th St, Ozark, AR 72949-3611 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888371 | Emily Richardson | Pharmacist | 323 Hwy 64, Alma, AR 72949 | 2020-07-20 |
| 1033752290 | Krista Crainer | Developmental Therapist | 4701 N Carbon City Rd, Ozark, AR 72949 | 2019-10-21 |
| 1407341159 | Ozark Family Pharmacy, LLC | Pharmacy | 101 South 7th Street, Ozark, AR 72949 | 2018-06-26 |
| 1033519681 | Erica Elizabeth Bullard | Speech-Language Pathologist | 1609 Walden Dr, Ozark, AR 72949 | 2014-09-02 |
| 1659629228 | Chadwick Earl Atkinson | Physical Therapy Assistant | 257 Airport Rd Suite E, Ozark, AR 72949 | 2012-08-29 |
| 1932477759 | Jason D Woolsey, Dds, Pa | Dentist | 1205 West Commercial, Ozark, AR 72949 | 2011-12-07 |
| 1306178082 | Total Rehabilitation Ozark, Inc. | Physical Therapist | 2708 W Commercial, Ozark, AR 72949 | 2010-02-05 |
| 1770717761 | Sheila G Hopper | Speech-Language Pathologist | 1601 Walden Drive, Elgin B. Milton Primary School, Ozark, AR 72949 | 2009-05-06 |
| 1134394224 | Western Arkansas Counseling & Guidance Center | Community/Behavioral Health | 303 N 18th St, Ozark, AR 72949 | 2008-04-29 |
| 1144495235 | Western Arkansas Counseling & Guidance Center, Inc.-franklin Co | Community/Behavioral Health | Hwy 23 N & Airport Rd, Ozark, AR 72949 | 2008-04-29 |
| Find all providers in zip 72949 | ||||
| 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 |
|---|---|---|---|---|
| 1730780917 | Amy Benson | Pharmacist | 5100 N Towne Centre Dr, Ozark, MO 65721-7479 | 2020-11-04 |
| 1629693692 | Erin Kim | Pharmacist | 4101 N State Highway Nn, Ozark, MO 65721-7218 | 2020-06-15 |
| 1124430533 | Carl Hefner | Pharmacist | 1475 W South St, Ozark, MO 65721-7329 | 2014-05-20 |
| 1477878692 | James C Harris | Pharmacist | 1649 E Roy Parker Rd, Ozark, AL 36360-4716 | 2010-03-30 |
| 1821208422 | James L Kass | Pharmacist | 1152 Wjackson St, Ozark, MO 65721-9164 | 2007-05-23 |
| 1811982739 | Lloyd L Rausher | Pharmacist | 500 W Commercial St, Ozark, AR 72949-3112 | 2005-09-16 |
| 1326648072 | Kristy Delong | Pharmacist | 2004 W Marler Ln, Ozark, MO 65721-7661 | 2020-10-30 |
| 1730789124 | Erin Michelle Dominguez | Pharmacist | 2004 W Marler Ln, Ozark, MO 65721-7661 | 2020-10-27 |
| 1770183295 | Kristen Nichole Johnson | Pharmacist | 1516 N 18th St, Ozark, AR 72949-3611 | 2020-10-26 |
| 1649870148 | John Wiksen | Pharmacist | 2004 W Marler Ln, Ozark, MO 65721-7661 | 2020-10-26 |
| Find all providers in OZARK | ||||
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| 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.