Individual provider Active NPI

Emily Hawthorne, RPH

  • Pharmacist
  • Shreveport, LA
National Provider Identifier
1669890323
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19598 Issued in LA
Practice address
1125 Shreveport Barksdale Hwy
Shreveport, LA 71105-2404
Phone
(318) 861-9212
Fax
(318) 861-9236
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19598 LA Primary

Addresses

Primary practice location

1125 Shreveport Barksdale Hwy
Shreveport, LA 71105-2404

Mailing address

1125 Shreveport Barksdale Hwy
Shreveport, LA 71105-2404
Phone (318) 861-9212

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

LicenseStateTypeSpecialty
19598LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1669890323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SHREVEPORT BARKSDALE HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052404",
            "telephone_number": "318-861-9212",
            "fax_number": "318-861-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SHREVEPORT BARKSDALE HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052404",
            "telephone_number": "318-861-9212",
            "fax_number": "318-861-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "EMILY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "19598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.