Individual provider Active NPI

Joe Lettenberger, RPH

  • Pharmacist
  • Ripon, WI
National Provider Identifier
1124342704
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7750 Issued in WI
Practice address
328 Watson St
Ripon, WI 54971-1517
Phone
(920) 748-5174
Fax
(920) 748-2066
NPI assigned
Mar 25, 2010
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7750 WI Primary

Addresses

Primary practice location

328 Watson St
Ripon, WI 54971-1517

Mailing address

328 Watson St
Ripon, WI 54971-1517
Phone (920) 748-5174

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ripon Drug Management Enterprises Inc PastSince Oct 1, 2023 Accepting new patients
Ripon Drug Management Enterprises Inc Past Accepting new patients

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1124342704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711517",
            "telephone_number": "920-748-5174",
            "fax_number": "920-748-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WATSON ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711517",
            "telephone_number": "920-748-5174",
            "fax_number": "920-748-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTENBERGER",
        "first_name": "JOE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.