Active NPI
Leticia Fohtung
- Pharmacist
- Commerce, TX
National Provider Identifier
1518567296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49262
- Practice address
- 2701 State Highway 50
Commerce, TX 75428-2830 - Phone
- (903) 886-7732
- NPI assigned
- Oct 30, 2020
- Last updated
- Oct 30, 2020
- 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 | 49262 | TX | Primary |
Addresses
Primary practice location
2701 State Highway 50
Commerce, TX 75428-2830
Mailing address
5108 Pinewood Dr
McKinney, TX 75071-8391
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49262 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas, LLC | 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.
-
dba Walmart Pharmacy 10-0240
- Community/Retail Pharmacy
- Commerce, TX
- NPI 1356368526
-
dba Walmart Pharmacy 10-1484
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1518567296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 PINEWOOD DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750718391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 STATE HIGHWAY 50",
"city": "COMMERCE",
"state": "TX",
"postal_code": "754282830",
"telephone_number": "903-886-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOHTUNG",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, TX
- Clinton Dale Debord, RPH.
- Suzette K. Doescher, LCSW
- Draughn & Sons LC (Country Home Estates)
- Eric G. Russell (Beacon Chiropractic)
- Eye Center Optical (Commerce Eye Care)
- Lynsey Abbott Fritts, DPT
- Gary George Jr., LPC
- Jessica Lynn Hamner
- Healing Wonders LLC (Joe Pharmacy)
- Healing Wonders LLC (Joe Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.