Jonathan James Larsen, is a
Pharmacist based in Ratcliff, Arkansas. Jonathan James Larsen is licensed to practice in Arkansas (license number PD09557) and his current practice location is
9755 W State Highway 22, Ratcliff, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 279-7709.
NPI number for Jonathan James Larsen is 1275149791 and his current mailing address is Po Box 130, Ratcliff, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275149791.
Healthcare Provider's Profile
| Full Name | Jonathan James Larsen |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 9755 W State Highway 22, Ratcliff, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275149791
- Provider Enumeration Date: 09/21/2020
- Last Update Date: 06/23/2025
Medical Identifiers
Medical identifiers for Jonathan James Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275149791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PD09557 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan James Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan James Larsen,
Po Box 130,
Ratcliff, AR 72951-0130
Ph: (479) 279-7709 | Jonathan James Larsen,
9755 W State Highway 22,
Ratcliff, AR 72951-9000
Ph: (479) 279-7709 |
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