Individual provider Active NPI

Emmarance Verheem

  • Pharmacist
  • Coachella, CA
National Provider Identifier
1811510233
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45965 Issued in CA
Practice address
51101 Cesar Chavez St
Coachella, CA 92236-1560
Phone
(760) 398-0833
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45965 CA Primary

Addresses

Primary practice location

51101 Cesar Chavez St
Coachella, CA 92236-1560

Mailing address

105 Rubino CT
Palm Desert, CA 92211-0778
Phone (760) 419-2821

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RiteAid

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

State licenses

LicenseStateTypeSpecialty
45965CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc CurrentSince May 24, 2020 Accepting new patients
Thrifty Payless Inc PastSince May 24, 2020 Accepting new patients

Locations

51101 Harrison St
Coachella, CA 92236
Phone (760) 398-0833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1811510233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RUBINO CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110778",
            "telephone_number": "760-419-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51101 CESAR CHAVEZ ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361560",
            "telephone_number": "760-398-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHEEM",
        "first_name": "EMMARANCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RiteAid",
            "affiliation": "N",
            "address_1": "51101 Cesar Chavez St",
            "city": "Coachella",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922361560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.