LARSEN MAYER PHARMACY
NPI 1790778967
Pharmacy - Community/Retail Pharmacy in Kenosha, WI

Q: What is Mayer Drug Inc's NPI number?

The NPI number for Mayer Drug Inc is 1790778967. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Larsen Mayer Pharmacy.

Q: What is Mayer Drug Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Mayer Drug Inc was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2005

3535 30TH AVE, STE 103, KENOSHA, WI 53144(262) 658-8124(262) 564-8667 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larsen Mayer Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARSEN MAYER PHARMACY (NPI 1790778967) is a healthcare organization registered as a community/retail pharmacy in Kenosha, Wisconsin and active in the NPI registry since August 2005. The organization lists Raymond Larsen, President, as its authorized official.

NPPES Registry Identity

NPI1790778967

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMAYER DRUG INC

Location Address3535 30TH AVE, STE 103Kenosha, WI 53144-1632

Mailing Address3535 30th Ave, Ste 103Kenosha, WI 53144-1632 · (262) 658-8124 · Fax (262) 564-8667

Phone(262) 658-8124

Fax(262) 564-8667

Organization SubpartNo

Authorized OfficialRaymond LarsenPresident · (262) 658-8124

Enumeration DateAugust 23, 2005

Last NPPES UpdateOctober 6, 2010

✔ NPI 1790778967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 8019-42

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

3535 30TH AVE, Kenosha, WI 53144

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Other Names 1

Doing Business AsLarsen Mayer Pharmacy

Other Identifiers 3

Other5102392Ncpdp Provider Identification Number

Medicaid3305290033069300WI

Medicare NSC0750250001

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PUSHPARANEE BABUSUKUMAR MD

Psychiatry & Neurology (Psychiatry)

3535 30TH AVE, SUITE 201
KENOSHA, WI 53144

Kenosha County (262) 652-7813

LINDA M. TISO MSW, LCSW, SAC

Social Worker (Clinical)

3535 30TH AVE, SUITE 202
KENOSHA, WI 53144

Kenosha County (262) 842-0500

AFTAB A ANSARI, M.D., S.C.

Orthopaedic Surgery (Hand Surgery)

3535 30TH AVE, SUITE 101B
KENOSHA, WI 53144

Kenosha County (262) 652-4878

DR. MICHAEL BARTLETT THOMPSON D.P.M.

Podiatrist

3535 30TH AVE, 203
KENOSHA, WI 53144

Kenosha County (262) 657-6104

ENDOCRINE CLINIC OF KENOSHA , S.C.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3535 30TH AVE, SUITE 101B
KENOSHA, WI 53144

Kenosha County (262) 842-0420

FAMILY FOOT CLINICS OF WISCONSIN SC

Podiatrist (Foot & Ankle Surgery)

3535 30TH AVE, #203
KENOSHA, WI 53144

Kenosha County (262) 657-6104

FAMILY FOOT & ANKLE CLINICS OF WISCONSIN,LLC

Podiatrist (Foot & Ankle Surgery)

3535 30TH AVE, STE 203
KENOSHA, WI 53144

Kenosha County (262) 657-6104

PUSHPARANEE BABUSUKUMAR M.D.S.C.

Psychiatry & Neurology (Psychiatry)

3535 30TH AVE, SUITE 201
KENOSHA, WI 53144

Kenosha County (262) 652-7813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayer Drug Inc's NPI number?

The NPI number for Mayer Drug Inc is 1790778967. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Larsen Mayer Pharmacy.

Where is Mayer Drug Inc located?

Mayer Drug Inc is located at 3535 30th Ave Ste 103, Kenosha, WI 53144. The listed phone number is (262) 658-8124.

What is Mayer Drug Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Mayer Drug Inc was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.