IndividualActive
Devan Larsen
NPI 1417560368 · Pharmacist · Orem, UT
Provider details
- NPI number
- 1417560368
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9523307-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
763 N State St
Orem, UT 84057-3807
Phone: (801) 734-1624
Fax: (801) 734-1627
Street-level locationGet directions
Mailing address
763 N State St
Orem, UT 84057-3807
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.