Active NPI
Emily C Late, RPH
- Pharmacist
- Imboden, AR
National Provider Identifier
1558028019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD10754
- Practice address
- 110 N. Walnut St.
Imboden, AR 72434 - Phone
- (870) 869-2046
- NPI assigned
- Nov 19, 2021
- Last updated
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PD10754 | AR | Primary |
Addresses
Primary practice location
110 N. Walnut St.
Imboden, AR 72434
Mailing address
297 Clubview Dr
Pocahontas, AR 72455-8832
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10754 | AR | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1558028019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 CLUBVIEW DR",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724558832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N. WALNUT ST.",
"city": "IMBODEN",
"state": "AR",
"postal_code": "72434",
"telephone_number": "870-869-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATE",
"first_name": "EMILY",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imboden, AR
- Lena Huffman, RN
- Imboden Area Charter School
- Imboden Medical Pharmacy Inc
- JMRX LLC (Imboden Medical Pharmacy)
- Mikka Nicole Jones, RN
- Lawrence Memorial Health Foundation Inc. (Imboden Rural Health Clinic)
- Lawrence Memorial Hospital (Imboden Clinic)
- Holli Dawn Lillard, DPT
- Leslee Deanna Martin
- Latricia Meyer, QBHP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.