Tracy J. Larsen, REGISTERED PHARMACIS
NPI 1598386716ActiveIndividual· Pharmacist· Crestwood, IL
Pharmacist (REGISTERED PHARMACIS) in Crestwood, Illinois, licensed in IL, with an NPI issued in April 2020.
Overview
| NPI | 1598386716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED PHARMACIS |
| Sole proprietor | No |
| NPI issued | Apr 28, 2020 |
| Last updated in NPPES | Apr 28, 2020 |
| Certified by provider | Apr 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 051039230 | IL |
| Pharmacist, Geriatric | 1835G0303X | 051039230 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacists in Crestwood
- 1841802196
- 1851296255
- 1497061832
- 1437434867
- 1215213509
- 1235409137
- 1679151336
- 1376838631
- 1194316398
- 1497340236
- 1700590858
- 1720351752
All 20 pharmacists in Crestwood · All pharmacists in Illinois