Emily Frye Henderson

Primary specialty

PharmacistTaxonomy code 183500000X

License

33077 Issued in TN

Practice address

137 F St
Salida, CO 81201-2101

Phone

(719) 530-4791

Fax

(719) 530-4791

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LJCC Services, LLC

  • Clinic Pharmacy
  • Salida, CO
  • NPI 1154146611
  NPD
• LJCC Services, LLC

  • Community/Retail Pharmacy
  • Salida, CO
  • NPI 1740821289
  NPD
• Walgreen Co

  • Pharmacy
  • Nashville, TN
  • NPI 1174538276
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1801178017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 F ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012101",
            "telephone_number": "719-530-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 F ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012101",
            "telephone_number": "719-530-4791",
            "fax_number": "719-530-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EMILY",
        "middle_name": "FRYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "010397",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "0023928",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey L Headrick, NP-C
• Heart of the Rockies Home Health, LLC
• Heart of the Rockies Home Health, LLC
• Heart of the Rockies Radiology PC
• Ellen Henderson, LPCC
• Nathan Herndon, D.C.
• High Rockies Counseling Services
• Hildebrand Home Care Inc.
• Tracey W. Hill, RN, BSN, MS
• Holistic Healthship, Inc

• All providers in Salida, CO
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.