MATT LARSON (NPI# 1922383488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922383488 |
| Entity Type | Individual |
| Full Name | MATT LARSON |
| Practice Address |
115 Garfield St N Cambridge MN 55008-1765 |
| Practice Telephone | 7635523103 |
| Practice Fax Number | 7635523106 |
| Mailing Telephone | 7635523103 |
| Mailing Fax Number | 7635523106 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118973 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386065605 | Matt Alof Larson | Counselor | 717 N 1850 W, Provo, UT 84604 | 2014-01-06 |
| Street Address |
115 GARFIELD ST N |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578578704 | Walgreen Co | Pharmacy | 115 Garfield St N, Cambridge, MN 55008-1765 | 2006-07-29 |
| 1497367718 | Amanda Hansen | Pharmacist | 115 Garfield St N, Cambridge, MN 55008-1765 | 2020-08-18 |
| 1538445457 | Tricia Renae Odonovan | Pharmacist | 115 Garfield St N, Cambridge, MN 55008-1765 | 2011-10-24 |
| 1962785493 | Charles Roy Lander | Pharmacist | 115 Garfield St N, Walgreens 2460, Cambridge, MN 55008-1765 | 2011-09-21 |
| 1770864233 | Lisa Ann Marek | Pharmacist | 115 Garfield St N, Cambridge, MN 55008-1765 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| 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 |
|---|---|---|---|---|
| 1265046759 | Anna Lundberg | Pharmacist | 348 Franklin St Apt 4c, Cambridge, MA 02139-3163 | 2020-09-02 |
| 1710599436 | David Robert Podradchik | Pharmacist | 25 Carleton St # E23-196, Cambridge, MA 02142-1323 | 2020-08-24 |
| 1790339521 | Erica Liu | Pharmacist | 80 Fawcett St, Cambridge, MA 02138-1145 | 2019-07-30 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1629451059 | Emily Jane Hein | Pharmacist | 701 S Dellwood, Cambridge, MN 55008-1920 | 2015-07-02 |
| 1043652605 | Stacy Lynn Fitzgerald | Pharmacist | 625 Massachusetts Avenue, Cambridge, MA 02139 | 2013-07-24 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1316213325 | Victoria Liu | Pharmacist | 1035 Cambridge St Ste 232331, Cambridge, MA 02141-1057 | 2012-03-25 |
| 1114200821 | Chaicharn Luangkamthorn | Pharmacist | 211 Alewife Brook Pkwy, Cambridge, Cambridge, MA 02138-1101 | 2011-09-20 |
| 1134417306 | Alexandra Polito | Pharmacist | 1035 Cambridge St Ste 23, Cambridge, MA 02141-1154 | 2011-07-21 |
| Find all providers in CAMBRIDGE | ||||
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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.