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

NPI Status: Active since August 23, 2005

Contact Information

3535 30TH AVE
STE 103
KENOSHA, WI
ZIP 53144
Phone: (262) 658-8124
Fax: (262) 564-8667

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About LARSEN MAYER PHARMACY

This page provides the complete NPI Profile along with additional information for Larsen Mayer Pharmacy, a provider established in Kenosha, Wisconsin operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1790778967 assigned on August 2005. The practitioner's primary taxonomy code is 3336C0003X with license number 8019-42 (WI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Larsen Mayer Pharmacy. The authorized official of this NPI record is Raymond Larsen (President)

NPI
1790778967
Provider Legal Name
MAYER DRUG INC
Other Organization Name
LARSEN MAYER PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3535 30TH AVE STE 103 KENOSHA, WI 53144
Location Phone
(262) 658-8124
Location Fax
(262) 564-8667
Mailing Address
3535 30TH AVE STE 103 KENOSHA, WI 53144
Mailing Phone
(262) 658-8124
Mailing Fax
(262) 564-8667
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2005
Last Update Date
10-06-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
8019-42
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAYMOND LARSEN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(262) 658-8124

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5102392OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
3305290033069300MEDICAID (05)WI 
0750250001MEDICARE NSC (07) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790778967, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 1 + 6 + 9 + 1 + 2 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1790778967.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychosomatic Medicine)
3535 30TH AVE, SUITE 201
KENOSHA, WI 53144
Podiatrist
3535 30TH AVE, 203
KENOSHA, WI 53144
Social Worker (Clinical)
3535 30TH AVE, SUITE 202
KENOSHA, WI 53144
Psychiatry & Neurology (Psychiatry)
3535 30TH AVE, SUITE 201
KENOSHA, WI 53144
Psychiatry & Neurology (Psychiatry)
3535 30TH AVE, SUITE 201
KENOSHA, WI 53144
Internal Medicine
3535 30TH AVE, SUITE 207
KENOSHA, WI 53144
Podiatrist (Foot & Ankle Surgery)
3535 30TH AVE, #203
KENOSHA, WI 53144
Psychiatry & Neurology (Psychiatry)
3535 30TH AVE, SUITE 201
KENOSHA, WI 53144
Counselor (Addiction (Substance Use Disorder))
3535 30TH AVE, SUITE 202
KENOSHA, WI 53144
Orthopaedic Surgery (Hand Surgery)
3535 30TH AVE, SUITE 101B
KENOSHA, WI 53144
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3535 30TH AVE, SUITE 101B
KENOSHA, WI 53144
Counselor (Addiction (Substance Use Disorder))
3535 30TH AVE, SUITE 202
KENOSHA, WI 53144
Counselor (Addiction (Substance Use Disorder))
3535 30TH AVE, SUITE 202
KENOSHA, WI 53144
Counselor (Mental Health)
3535 30TH AVE, SUITE 202
KENOSHA, WI 53144
Podiatrist (Foot & Ankle Surgery)
3535 30TH AVE, SUITE 203
KENOSHA, WI 53144
Podiatrist (Foot & Ankle Surgery)
3535 30TH AVE, STE 203
KENOSHA, WI 53144
Pharmacist
3535 30TH AVE
KENOSHA, WI 53144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790778967, enumerated as an "organization" on August 23, 2005.

The provider is located at 3535 30TH AVE STE 103 KENOSHA, WI 53144 and the phone number is (262) 658-8124.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.