Letassy Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

026011 Issued in MO

Legal business name

LETASSY PHARMACY

Practice address

1014 W Pine St
Poplar Bluff, MO 63901-4840

Phone

(573) 785-8421

Fax

(573) 785-3348

NPI assigned

May 23, 2007

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard R Letassy, RPH.

Title

Pharmacist

Phone

(573) 785-8421

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1356551592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014840",
            "telephone_number": "573-785-8421",
            "fax_number": "573-785-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014840",
            "telephone_number": "573-785-8421",
            "fax_number": "573-785-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETASSY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "LETASSY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "573-785-8421",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "026011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601504202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPD",
            "identifier": "2618568",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Leann Leeds
• Sam V Lefler, RPH
• Jennifer Sue Leggett
• Carrie Jo Leslie
• Letassy Health Services
• Candace Lewis, B.A.
• Crystal Lewis
• Danasty Marie Lewis
• Donal Rena Lewis
• Jo Linda K Lewis

• Pharmacist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.