MICHAEL LARSON


Address: 2000 Orchard Rd, Montgomery, IL 60538-1028
Phone: 6308443509

MICHAEL LARSON (NPI# 1235730292) 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) 1235730292
Entity Type Individual
Full Name MICHAEL LARSON
Practice Address 2000 Orchard Rd
Montgomery
IL 60538-1028
Practice Telephone 6308443509
Practice Fax Number 6308443512
Mailing Telephone 6308443509
Mailing Fax Number 6308443512
Enumeration Date 2020-11-05
Last Update Date 2020-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051026221 IL Pharmacy Service Providers

Other Providers MICHAEL LARSON

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1518960087 Michael J Larson Orthopaedic Surgery 360 East Main, Rexburg, ID 83440 2005-05-27
1902411903 Michael S Larson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2020-09-15
1104455294 Michael Larson Case Manager/Care Coordinator 735 S 200 W Ste 1, Blanding, UT 84511-3923 2020-04-02
1801424544 Michael J Larson Student in an Organized Health Care Education/Training Program 701 Park Ave, Minneapolis, MN 55415-1829 2020-03-30
1417452376 Michael Odell Larson Student in an Organized Health Care Education/Training Program 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 2018-03-23
1154829497 Michael A Larson Social Worker 1212 E College Dr, Marshall, MN 56258-2010 2018-01-31
1174054670 Michael Edward Larson Radiology Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 2017-03-26

Office Location

Street Address 2000 ORCHARD RD
City MONTGOMERY
State IL
Zip Code 60538-1028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043419526 Walmart Inc. Durable Medical Equipment & Medical Supplies 2000 Orchard Rd, Montgomery, IL 60538-1028 2007-07-13
1114528643 Somkoum Baccam Pharmacist 2000 Orchard Rd, Montgomery, IL 60538-1028 2020-11-02
1245830330 Kulsoom Shah Pharmacist 2000 Orchard Rd, Montgomery, IL 60538-1028 2020-10-28
1841666963 Wal-mart Stores, Inc Technician/Technologist 2000 Orchard Rd, Montgomery, IL 60538-1028 2015-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447594296 Kristina Nancy Hajek Physician Assistant 1851 Douglas Road, Montgomery, IL 60538 2012-11-17
1003025248 Matthew Thomas Neu Preventive Medicine 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 2007-05-22
1477761567 West Suburban Dental Care, Ltd. Dentist 1901 Douglas Rd, Montgomery, IL 60538 2007-05-20
1093834079 David D Leger Chiropractor 2100 Baseline Rd, Montgomery, IL 60538 2007-03-28
1790816650 Tina Elizabeth Sunderland Specialist/Technologist 22 Ashlawn Ave, Montgomery, IL 60538 2007-03-09
1720126535 Nicholas George Tzanetakos Family Medicine 99 Boulder Hill Pass, Montgomery, IL 60538 2007-02-02
1184638603 Neil Stewart Schlupp Chiropractor 212 Webster Street, Montgomery, IL 60538 2006-07-28
1275570061 Ridge Ambulance Service Inc Ambulance 1851 Aucutt Rd, Montgomery, IL 60538 2006-06-01
1487855839 Linda Gioia Arrich Dentist 1901 Douglas Rd, Montgomery, IL 60538 2007-05-31
1750508339 Michael Harry Kontos Dentist 20 Boulder Hill Pass, Montgomery, IL 60538 2007-04-18
Find all providers in zip 60538

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
1275148389 Jovan Maurice Dudley Pharmacist 2180 Woodforest Pkwy N, Montgomery, TX 77316-6958 2020-09-15
1548874266 Generational Care LLC Pharmacist 4748 Regal Dr, Montgomery, AL 36116-4415 2020-09-01
1003427493 James Miracle Pharmacist 2015 Normandie Dr, Montgomery, AL 36111-2711 2020-08-11
1245754613 Matthew Alan Cole Pharmacist 215 Perry Hill Rd Dept 119, Montgomery, AL 36109-3725 2017-07-27
1982052015 Kevin J Jones Pharmacist 4385 Narrow Lane Rd, Montgomery, AL 36116 2016-05-31
1043675895 Payal Patel Pharmacist 7932 Vaughn Rd, Montgomery, AL 36116-6625 2015-12-21
1366837072 John Tyler Rinker Pharmacist 10472 Duncannon Trl, Montgomery, AL 36117-1201 2015-03-30
1871986356 Jamelle Young Pharmacist 4720 Mobile Hwy, Montgomery, AL 36108 2015-03-09
1548659006 Gary Frazier Jr. Pharmacist 2300 E South Blvd, Montgomery, AL 36116-2504 2015-01-21
1437554508 Robert Hassett Pharmacist 1028 Magnolia Curv, Montgomery, AL 36106-2133 2014-10-30
Find all providers in MONTGOMERY

Competitor

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City MONTGOMERY
Zip Code 60538

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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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