Organization Active NPI

Letsche Apothecary

Doing business as Main Street Pharmacy

  • Pharmacist
  • Holstein, IA
National Provider Identifier
1376642835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17926 Issued in IA
Legal business name
LETSCHE APOTHECARY
Doing business as
Main Street Pharmacy
Practice address
103 North Main St
Holstein, IA 51025
Phone
(712) 368-4549
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Letsche
Title
Owner
Phone
(712) 368-4549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17926 IA Primary

Addresses

Primary practice location

103 North Main St
Holstein, IA 51025

Mailing address

PO Box 70
Holstein, IA 51025-0070
Phone (712) 368-4549

Other identifiers 1

IdentifierTypeStateIssuer
0278820MedicaidIA

Other names 1

  • Main Street Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

103 N Main St
Holstein, IA 51025
Phone (712) 368-4549

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376642835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510250070",
            "telephone_number": "712-368-4549",
            "fax_number": "712-368-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NORTH MAIN ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "51025",
            "telephone_number": "712-368-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETSCHE APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LETSCHE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-368-4549"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278820",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holstein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.