IndividualActive
Nicole Larson
NPI 1215550868 · Pharmacist · Rogers, MN
Nicole Larson is a Pharmacist provider in Rogers, MN (NPI 1215550868).
Provider details
- NPI number
- 1215550868
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 120545 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21455 John Milless Dr
Rogers, MN 55374-9431
Phone: (763) 428-2629
Street-level locationGet directions
Mailing address
21455 John Milless Dr
Rogers, MN 55374-9431
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2020-05-18
- Certified
- 2020-05-18
Frequently asked questions
- What is Nicole Larson's NPI number?
- Nicole Larson's National Provider Identifier (NPI) is 1215550868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Larson's specialty?
- Nicole Larson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Nicole Larson located?
- Nicole Larson's practice location on file with NPPES is 21455 John Milless Dr, Rogers, MN 55374-9431.
- What is Nicole Larson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Larson is (763) 428-2629.
- Is Nicole Larson's NPI active?
- Yes — Nicole Larson's NPI (1215550868) is active in the NPPES registry as of the last update on 2020-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.