Letourneau'S Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

2777 Issued in MA

Legal business name

LETOURNEAU'S PHARMACY, INC.

Practice address

349 N Main St
Andover, MA 01810-2687

Phone

(978) 475-7779

Fax

(978) 475-1662

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Daniel McKallagat

Title

Owner/ Director

Phone

(978) 475-7779

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Letourneau'S Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Letourneau'S Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Burlington, MA
  • NPI 1720930605
  NPD tax ID

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1265486682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-7779",
            "fax_number": "978-475-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-7779",
            "fax_number": "978-475-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETOURNEAU'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "MCKALLAGAT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "978-475-7779"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "2777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408654",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Barnico Lee, LICSW
• Olivia Leitzke
• Paul N Lemaitre, M.D.
• Courtney Lemire
• Kimberly Glazier Leonte, PHD
• Alanna Goddard Levesque
• Sandra K Levine, MSW
• Michael Scott Levy, PH.D.
• Karin Susan Lewis, M.A., LMFT
• LGH Health Enterprises Inc.

• Pharmacy in Andover, MA
• Providers in Andover, MA by specialty
• Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.