OrganizationActive
Mayer Drug Inc
NPI 1790778967 · Community/Retail Pharmacy · Kenosha, WI
Mayer Drug Inc is a Community/Retail Pharmacy organization in Kenosha, WI (NPI 1790778967).
Provider details
- NPI number
- 1790778967
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Raymond Larsen, President(262) 658-8124
- License
- 8019-42 (WI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3535 30th Ave
Ste 103
Kenosha, WI 53144-1632
Phone: (262) 658-8124
Fax: (262) 564-8667
Street-level locationGet directions
Mailing address
3535 30th Ave
Kenosha, WI 53144-1632
Other names (DBA / former)
- Doing business as
- Larsen Mayer Pharmacy
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2010-10-06
Frequently asked questions
- What is Mayer Drug Inc's NPI number?
- Mayer Drug Inc's National Provider Identifier (NPI) is 1790778967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mayer Drug Inc?
- Mayer Drug Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mayer Drug Inc located?
- Mayer Drug Inc's practice location on file with NPPES is 3535 30th Ave, Kenosha, WI 53144-1632.
- What is Mayer Drug Inc's phone number?
- The practice phone number listed in the NPPES registry for Mayer Drug Inc is (262) 658-8124.
- Who is the authorized official for Mayer Drug Inc?
- The authorized official listed on Mayer Drug Inc's NPPES record is Raymond Larsen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mayer Drug Inc's NPI active?
- Yes — Mayer Drug Inc's NPI (1790778967) is active in the NPPES registry as of the last update on 2010-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.