Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073993622 Individual Practitioner Female Practitioner

Jacqueline Larson

Pharmacist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Jacqueline Larson is a registered healthcare professional specializing in Pharmacist in Bloomington, MN. Practice services are available at 10501 FLORIDA AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10501 Florida Ave S

Bloomington, MN 554382553

Telephone 9528541190
Associated Practice Facility / Clinic
🏢 Geritom Med Inc Facility NPI 1285621193

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Bloomington, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 122227

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License SD 6272

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Clarice Olson

Pharmacist

NPI 1144769118
NPI 1154041606

Doctor of Pharmacy (Pharm.D.)

NPI 1205346905

Doctor of Pharmacy (Pharm.D.)

NPI 1285660639

Doctor of Pharmacy (Pharm.D.)

NPI 1396400396

Doctor of Pharmacy (Pharm.D.)

NPI 1558507558

Doctor of Pharmacy (Pharm.D.), BCACP, CGP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 12, 2020

Registered at 10501 FLORIDA AVE S, BLOOMINGTON, MN 554382553 (Tel: 9528541190)

📍
Updated Business Mailing Address June 12, 2020

Registered at 10420 MARYLAND AVE N, BROOKLYN PARK, MN 554453278

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as JACQUELINE LARSON

NPI Profile Active June 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2015

Registered at 3800 LEXINGTON AVE N, SHOREVIEW, MN 551262916 (Tel: 6514860649)

📍
Updated Business Mailing Address June 08, 2015

Registered at 3800 LEXINGTON AVE N, SHOREVIEW, MN 551262916

👤
Provider Name / Credentials Updated June 08, 2015

Recorded as JACQUELINE ADAMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2015

Pharmacist (License #6272 in SD)

🟢
Initial NPI Registration & Enumeration June 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073993622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2015
Last Update: June 12, 2020
Sole Proprietor: No

Mailing Address

10420 Maryland Ave N

Brooklyn Park, MN 554453278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.