Active NPI
Emilly Ann Eben, PHARM.D.
- Pharmacist
- Luverne, MN
National Provider Identifier
1376793778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119277
- Practice address
- 1601 Sioux Valley Dr
Luverne, MN 56156-4500 - Phone
- (507) 283-4476
- Fax
- (507) 449-1346
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119277 | MN | Primary |
Addresses
Primary practice location
1601 Sioux Valley Dr
Luverne, MN 56156-4500
Mailing address
1600 N Kniss Ave
Luverne, MN 56156-1067
Phone (507) 449-1302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119277 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1376793778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N KNISS AVE",
"city": "LUVERNE",
"state": "MN",
"postal_code": "561561067",
"telephone_number": "507-449-1302",
"fax_number": "507-449-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SIOUX VALLEY DR",
"city": "LUVERNE",
"state": "MN",
"postal_code": "561564500",
"telephone_number": "507-283-4476",
"fax_number": "507-449-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBEN",
"first_name": "EMILLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luverne, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.