Active NPI
Judy Ann Latting, RPH
- Pharmacist
- Corunna, MI
National Provider Identifier
1881005536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024258
- Practice address
- 2591 E M 21
Corunna, MI 48817-1102 - Phone
- (989) 743-2533
- Fax
- (989) 743-2523
- NPI assigned
- May 15, 2014
- Last updated
- May 15, 2014
- 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 | 5302024258 | MI | Primary |
Addresses
Primary practice location
2591 E M 21
Corunna, MI 48817-1102
Mailing address
2591 E M 21
Corunna, MI 48817-1102
Phone (989) 743-2533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314064 | Other | MI | NABP |
| 5302024258 | Other | MI | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 5302024258 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1881005536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2591 E M 21",
"city": "CORUNNA",
"state": "MI",
"postal_code": "488171102",
"telephone_number": "989-743-2533",
"fax_number": "989-743-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 E M 21",
"city": "CORUNNA",
"state": "MI",
"postal_code": "488171102",
"telephone_number": "989-743-2533",
"fax_number": "989-743-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTING",
"first_name": "JUDY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "314064",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5302024258",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corunna, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.